Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Van Dyne

Individual provider Family Nurse Practitioner · NPI 1548768542

Michael Van Dyne is a Nurse Practitioner in San Antonio, Texas. Qualified in 2017, 9 years ago. Practices with Emergency Medicine Services of Tx, PLLC, a 358-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone: (210) 757-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1031936 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1031936 (TX)

Record details

NPI number1548768542
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 25, 2018
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Emergency Medicine Services Of Tx, Pllc — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in San Antonio