Individual provider Active NPI

Leslie Polk Van Dyke, ARNP

  • Acute Care Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1124023916
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
53-45551-051 Issued in KS
Practice address
929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone
(316) 268-5000
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R0114423 OK
Acute Care Nurse Practitioner 363LA2100X 53-45551-051 KS Primary

Addresses

Primary practice location

929 N Saint Francis Ave
Wichita, KS 67214-3821

Mailing address

1846 N Cranbrook St
Wichita, KS 67206-8916
Phone (903) 504-3376

Other identifiers 2

IdentifierTypeStateIssuer
200253540AMedicaidKS
8772NAOtherTXBCBS

Other names 1

  • Leslie P Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040423000458 KS Practitioner - Nurse Practitioner 1557357662 Reassigns benefits to 2 organizations
I20141219000063 OK Practitioner - Nurse Practitioner 1557357662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

12451 E 100TH St N
Owasso, OK 74055-4600
Phone (918) 274-5000

14800 W Saint Teresa St
HMP of TX PLLC
Wichita, KS 67235-9602
Phone (316) 268-3976

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101

3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 333-7200

929 N Saint Francis Ave
HMP of TX PLLC
Wichita, KS 67214-3821
Phone (316) 291-4396

Hospital & facility affiliations

  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
  • Via Christi Hospital Wichita St Teresa, Inc Hospital, Wichita, KS, CCN 170200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-45551-051KSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA CurrentSince Jan 1, 2022 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Feb 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince May 11, 2021 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients
Via Christi Hospitals Wichita, Inc Past Accepting new patients
Sharlet Slough DO PastSince May 31, 2013 Accepting new patients

Locations

20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

14800 W Saint Teresa St
Wichita, KS 67235
Phone (316) 268-6976

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

Interoperability endpoints

  • Direct secure messaging: leslie.vandyke@direct.stjohnhealthsystem.com
  • Direct secure messaging: lvandyke20401@christushealth.direct-ci.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1124023916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 N CRANBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672068916",
            "telephone_number": "903-504-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "LESLIE",
        "middle_name": "POLK",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "R0114423",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "53-45551-051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200253540A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8772NA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "SMITH",
            "middle_name": "P",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.