1. Home
  2. Directory
  3. Nevada
  4. Reno
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MR. SPENCER KILMAN VAN DYCK
NPI 1528412129
Student in an Organized Health Care Education/Training Program in Reno, NV

Active since April 20, 2016PECOS Enrolled
1155 MILL ST # W11, RENO, NV 89502(775) 327-5174(775) 327-5178 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Spencer Kilman Van Dyck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SPENCER KILMAN VAN DYCK (NPI 1528412129) is an individual student in an organized health care education/training program in Reno, Nevada and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528412129
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SPENCER KILMAN VAN DYCK
Location Address1155 MILL ST # W11Reno, NV 89502-1576
Mailing Address1155 Mill St # W11Reno, NV 89502-1576 · (775) 327-5174 · Fax (775) 327-5178
Phone(775) 327-5174
Fax(775) 327-5178
Sole ProprietorNo
Enumeration DateApril 20, 2016
✔ NPI 1528412129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1155 MILL ST # W11, Reno, NV 89502
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Spencer Kilman Van Dyck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIHIR GIRISHKUMAR DAVE MD
Internal Medicine
1155 MILL ST # W11
RENO, NV 89502
Washoe County (577) 327-5174
DAOUD NASIR MAJID M.D.
Student in an Organized Health Care Education/Training Program
1155 MILL ST # W11
RENO, NV 89502
Washoe County (775) 327-5174
SYLVIA NICHOLIS M.D.
Student in an Organized Health Care Education/Training Program
1155 MILL ST # W11
RENO, NV 89502
Washoe County (775) 327-5174
BRYCE DAVID BEUTLER
Radiology (Neuroradiology)
1155 MILL ST # W11
RENO, NV 89502
Washoe County (775) 327-5174
HAFIZ BASIT MAHBOOB MD
Internal Medicine (Pulmonary Disease)
1155 MILL ST # W11
RENO, NV 89502
Washoe County (775) 327-5174
MICHAEL HILL
Radiology (Vascular & Interventional Radiology)
1155 MILL ST # W11
RENO, NV 89502
Washoe County (775) 327-5174
SEKANI JAY ALLEN MD
Internal Medicine
1155 MILL ST # W11
RENO, NV 89502
Washoe County (262) 676-4251
MOKSHYA SHARMA MBBS
Student in an Organized Health Care Education/Training Program
1155 MILL ST # W11
RENO, NV 89502
Washoe County (775) 327-5174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Van Dyck's NPI number?

The NPI number for Spencer Van Dyck is 1528412129. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Spencer Van Dyck located?

Spencer Van Dyck practices at 1155 Mill St # W11, Reno, NV 89502. The listed phone number is (775) 327-5174.

What is Spencer Van Dyck's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Spencer Van Dyck enrolled in Medicare?

Yes. Spencer Van Dyck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Spencer Van Dyck was last updated on April 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.