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

Susannah Bauer Van Dyke, NP

Individual provider Family Nurse Practitioner · NPI 1801917703

Susannah Bauer Van Dyke, NP is a Nurse Practitioner in Charlotte, North Carolina. Graduated from Georgetown University School of Medicine in 2002, 24 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and New York.

Years since qualifying
24
Trained at
Georgetown University School of Medicine
Licensed in
NC, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

200 Greenwich Rd
Charlotte, NC 28211-2316
Phone: (704) 384-8680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5006906 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F334136 (NY)

Record details

NPI number1801917703
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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