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Active NPI 1528955325 Individual Practitioner Male Practitioner

Eric John Van Dyck , APNP

Nurse Practitioner • Wauwatosa, WI

Professional Overview & Biography Verified Profile Summary

Eric Van Dyck, APNP is a registered healthcare professional specializing in Nurse Practitioner in Wauwatosa, WI. Practice services are available at 10625 W NORTH AVE STE 101B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10625 W North Ave Ste 101b

Wauwatosa, WI 532262315

Telephone 4148775350
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wauwatosa, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
56 Specialists

Practicing in Wauwatosa, WI (4030 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 16952-33

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003513284

Advanced Practice Nurse Prescriber, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Jordan Airola , DO

Emergency Medicine

NPI 1043906605

Doctor of Osteopathic Medicine (D.O.)

Dr. Justin Rountree , MD

Emergency Medicine

NPI 1053000513

Doctor of Medicine (M.D.)

Dr. Jeffrey Glinski , MD

Emergency Medicine

NPI 1053365619

Doctor of Medicine (M.D.)

Dr. Kathleen Shallow , MD

Emergency Medicine

NPI 1063433837

Doctor of Medicine (M.D.)

Nicole Forbord , PA

Physician Assistant

NPI 1063921781

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2025

Registered at 10625 W NORTH AVE STE 101B, WAUWATOSA, WI 532262315 (Tel: 4148775350)

📍
Updated Business Mailing Address June 23, 2025

Registered at 1868 WRIGHTSTOWN RD, DE PERE, WI 541159611 (Tel: 9202273226)

👤
Provider Name / Credentials Updated June 23, 2025

Recorded as ERIC VAN DYCK, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2025

Nurse Practitioner (License #16952-33 in WI)

🟢
Initial NPI Registration & Enumeration June 23, 2025

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: 1528955325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2025
Last Update: June 23, 2025
Sole Proprietor: No

Mailing Address

1868 Wrightstown Rd

De Pere, WI 541159611

Phone: 9202273226

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.