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Active NPI 1184407355 Individual Practitioner Female Practitioner

Callie Van Dyck , PA-C

Physician Assistant • Manitowoc, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Callie Van Dyck, PA-C is a certified Physician Assistant practicing in Manitowoc, WI. With approximately 1 years of clinical experience since completing medical education in 2025, Callie Van Dyck delivers high-quality medical care to the local community at 3509 DEWEY ST.

Callie Van Dyck maintains professional affiliations with Aurora Medical Group, Inc., Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3509 Dewey St

Manitowoc, WI 542205813

Telephone 9206865731
Associated Practice Facility / Clinic
🏢 Aurora Medical Group, Inc Facility NPI 1801375910

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Manitowoc, WI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Manitowoc, WI (3517 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Dyck (1 Years) 1 Yrs
Manitowoc Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 8831

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Nurse's Aide

NUCC Taxonomy Code: 376K00000X

State License MN 10822836

(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100406670 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

12203 N Corporate Pkwy, Mequon, WI 530923388

Phone: 2623878200

Aurora Advanced Healthcare, Inc.

14555 W National Ave, New Berlin, WI 531514494

Phone: 2628272955

Aurora Medical Group, Inc.

6901 W Edgerton Ave, Milwaukee, WI 532204420

Phone: 4144218400

Secondary Practice Locations

6901 W Edgerton Ave

Greenfield, WI 532204420

Phone: 2623255244

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Kaylee Hawks , FNP-C

Nurse Practitioner

NPI 1003520255

Family Nurse Practitioner (Certified)

Bailey Snyder , PA-C

Physician Assistant

NPI 1174921134

Physician Assistant (Certified)

Miwako Ogurek

Nurse Practitioner

NPI 1194421842
NPI 1215163720

Doctor of Osteopathic Medicine (D.O.)

NPI 1326155532

Doctor of Medicine (M.D.)

Krystel Otto , MS, ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1598884140

Master of Science, Certified Athletic Trainer, Licensed Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location May 11, 2026

Registered at 3509 DEWEY ST, MANITOWOC, WI 542205813 (Tel: 9206865731)

📍
Updated Business Mailing Address May 11, 2026

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2026

Nurse's Aide (License #10822836 in MN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2026

Physician Assistant

📍
Updated Practice Location February 13, 2026

Registered at 6901 W EDGERTON AVE, GREENFIELD, WI 532204420 (Tel: 5074291401)

📍
Updated Business Mailing Address February 13, 2026

Registered at 6901 W EDGERTON AVE, GREENFIELD, WI 532204420

👤
Provider Name / Credentials Updated February 13, 2026

Recorded as CALLIE VAN DYCK, PA-C

📍
Updated Practice Location August 11, 2025

Registered at 38444 WOODLAND HILLS DR, WINONA, MN 559876083 (Tel: 5074291401)

📍
Updated Business Mailing Address August 11, 2025

Registered at 38444 WOODLAND HILLS DR, WINONA, MN 559876083 (Tel: 5074291401)

NPI Profile Active August 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2023

Registered at 921 S 8TH AVE STOP 8253, POCATELLO, ID 832090002 (Tel: 2082824726)

📍
Updated Business Mailing Address August 14, 2023

Registered at 921 S 8TH AVE STOP 8253, POCATELLO, ID 832090002 (Tel: 2082824726)

👤
Provider Name / Credentials Updated August 14, 2023

Recorded as CALLIE VAN DYCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2023

Nurse's Aide (License #10822836 in MN)

🟢
Initial NPI Registration & Enumeration August 14, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184407355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2023
Last Update: May 11, 2026
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.