AUSTIN VANWYK
NPI 1700536604
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Q: What is Austin Vanwyk's NPI number?

The NPI number for Austin Vanwyk is 1700536604. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Q: What is Austin Vanwyk's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Austin Vanwyk was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2022PECOS Enrolled

15 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 915-8253 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2025, Apr 13, 2023 (2 updates tracked since 2023).

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About Austin Vanwyk NPPES

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

AUSTIN VANWYK (NPI 1700536604) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700536604

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAUSTIN VANWYK

Location Address15 MICHIGAN ST NEGrand Rapids, MI 49503-2508

Mailing Address15 Michigan St NeGrand Rapids, MI 49503-2508

Phone(616) 915-8253

Sole ProprietorNo

Enumeration DateMarch 24, 2022

Last NPPES UpdateApril 13, 20232 updates tracked since enumeration

NPPES CertifiedApril 13, 2023

✔ NPI 1700536604 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.

15 MICHIGAN ST NE, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Austin Vanwyk 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 20

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

NICHOLAS WILLIAM NICOLETTI

Student in an Organized Health Care Education/Training Program