Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Desiree Ettalee Van Dyne, PA

Individual provider Physician Assistant · NPI 1528343613

MS. Desiree Ettalee Van Dyne, PA is a Physician Assistant in Columbus, Ohio. Qualified in 2011, 15 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Ohio.

Years since qualifying
15
Licensed in
KY, OH
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3535 Olentangy River Rd
Columbus, OH 43214-3998
Phone: (614) 566-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.003418RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence TC224 (KY)
Physician Assistant Taxonomy 363A00000X · Licence PA3049 (KY)

Record details

NPI number1528343613
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 20, 2011
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients31
Services billed 33 a service is one billed item, such as a visit, a test or a procedure
Average patient age81

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Ohiohealth Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2289 clinicians in the practice; 12 are shown here.

Other providers in Columbus