Leslie Ipock Van Dyke, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103155 Issued in NC

Practice address

3511 John Platt Dr
Morehead City, NC 28557-4321

Phone

(252) 247-4297

Fax

(252) 247-1620

NPI assigned

Jun 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
• Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Merit-based Incentive Payment System (MIPS)

Final score

88.25 of 100Reported as group

Quality

82.32

Promoting interoperability

100

Improvement activities

40

Cost

78.52

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: leslie.van.dyke.1@7773.direct.athenahealth.com
• Direct secure messaging: leslie.vandyke.1@7773.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7773/brand/55/csg/581/fhir/r4

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.

• Uwh of the Carolinas, PLLC

  • Obstetrics & Gynecology Physician
  • Morrisville, NC
  • NPI 1639506470
  Medicare reassignment Care Compare group
• Carteret OB GYN Associates

  • Obstetrics & Gynecology Physician
  • Morehead City, NC
  • NPI 1538108436
  NPD (past)
• Whap, PA

  • Obstetrics & Gynecology Physician
  • Winston Salem, NC
  • NPI 1649261785
  NPD (past)

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

• Carteret County General Hospital Corporation

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Care Compare affiliation
• Onslow Memorial Hospital Inc

  • General Acute Care Hospital
  • Jacksonville, NC
  • NPI 1679535496
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1487695367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 JOHN PLATT DR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574321",
            "telephone_number": "252-247-4297",
            "fax_number": "252-247-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 JOHN PLATT DR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574321",
            "telephone_number": "252-247-4297",
            "fax_number": "252-247-1620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Newman Rd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625238",
            "country_code": "US",
            "telephone_number": "252-634-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "LESLIE",
        "middle_name": "IPOCK",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Leslie.Vandyke.1@7773.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3511 John Platt Dr",
            "city": "Morehead City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285574321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Tyer, LCSW-A LCAS-A
• United Home Care, Inc.
• Universal Mhddsas
• Urgent Care Centers of Carolina, Inc.
• Urgent Cares of America North Carolina Inc
• Sara Vaughn, PHARMD
• Sajeev P Vettichira, MD
• Susan Vettichira, MD
• Jeffrey Ralph Vinton, D.D.S.
• Thomas T Vradelis, MD

• Medical Physician Assistant in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.