MRS. LESLIE POLK VAN DYKE ARNP NPI 1124023916

NPI Information

  • NPI: 1124023916
  • Provider Name: MRS. LESLIE POLK VAN DYKE, ARNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 929 N SAINT FRANCIS AVE
    WICHITA, KS
    ZIP 67214
  • Phone: (316) 268-5000

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NPI Details

MRS. Leslie Polk Van Dyke, ARNP is an acute care nurse practitioner in Wichita, KS with 23 years of experience. MRS. Leslie Polk Van Dyke, ARNP NPI is 1124023916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

929 N SAINT FRANCIS AVE
WICHITA, KS
ZIP 67214-821
Phone: (316) 268-5000

The NPI 1124023916 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 6/17/2005 and was last updated on 8/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareR0114423OKLAHOMANo
2363LA2100XNurse PractitionerAcute Care53-45551-051KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200253540AMEDICAIDKANSAS
28772NAOTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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