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Nicole Van Dycke , MS CCC-SLP

Speech-Language Pathologist β€’ Summit, WI

Active NPI 1083063002 Individual Practitioner Female Practitioner
Practice location in NPPES

36500 Aurora Dr
Summit, WI 530664899

Call 2624341000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Organization at the Same NPPES Address or Phone
Aurora Health Care Ventures Inc. Facility NPI 1376791020

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Summit and Wisconsin

5 active clinicians are listed under Speech-Language Pathologist with a practice address in Summit, WI (3,787 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES WI 5023

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

License # reported to NPPES IL 242.003895
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1679894901

Doctor of Medicine (M.D.)

Dr. Tulay Aksoy , MD

Internal Medicine

NPI 1245485697

Doctor of Medicine (M.D.)

NPI 1083000863

Doctor of Medicine (M.D.)

Dr. Karina Arkush , MD

Psychiatry & Neurology - Neurology

NPI 1659690741

Doctor of Medicine (M.D.)

NPI 1487819520

Doctor of Medicine (M.D.)

Dr. Lynn Bartl , MD

Neurological Surgery

NPI 1871502476

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 26, 2021

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

πŸ‘€
Provider Name / Credentials Updated April 26, 2021

Recorded as NICOLE VAN DYCKE, M.S. CCC-SLP

βœ…
NPI Profile Active June 09, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2016

Registered at 15 COMMERCE DR, SUITE 116, GRAYSLAKE, IL 600307807 (Tel: 8472237433)

πŸ“
Business Mailing Address (Initial Record) June 09, 2016

Registered at 7015 EDGEWOOD CT, SPRING GROVE, IL 600818335 (Tel: 8153530068)

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2016

Recorded as NICOLE VAN DYCKE, M.S., CFY-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2016

Specialist/Technologist (license number reported to NPPES: IL 242.003895)

🟒
Initial NPI Registration & Enumeration June 09, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083063002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2016
Last Update: April 26, 2021
Sole Proprietor: No

Mailing Address

7015 Edgewood Ct

Spring Grove, IL 600818335

Phone: 8153530068

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.