TAMARA VANDYKE (PA-C) – Dermatology Physician, NPI 1427053685

TAMARA VANDYKE (PA-C) is a healthcare provider. based in Reno, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 805 (NV). The NPI Number for TAMARA VANDYKE (PA-C) is 1427053685

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA VANDYKE (PA-C)
NPI
1427053685
Phone
(775) 829-1212
Address
6490 S. MCCARRAN BLVD
Enumeration Date
15 June 2005
Last Update Date
12 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753240699
Graduation Year
2003 (23 years ago)
PAC ID
8426944067
Group Practice PAC ID
1153609813
Professional Enrollment ID
I20040223000418
Address ID
NV895112250RE5419XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for TAMARA VANDYKE (PA-C)

  • 6490, South McCarran Boulevard, Reno, Washoe County, Nevada, 89509, United States

    STE D-38

    RENO, NV 89509

    Phone: (775) 829-1212

    Fax: (775) 829-1179

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,274.

Total Amount is formed as General ($1,274) + Research ($0) + Ownership ($0) = $1,274.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($251).

Total Amount

$1,274

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,274

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040223000418IPhysician AssistantNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths3,613452$0
99213Established patient office or other outpatient visit, 20-29 minutes1,245968$0
17000Destruction of precancer skin growth, 1 growth698530$0
99212Established patient office or other outpatient visit, 10-19 minutes602429$0
17004Destruction of precancer skin growth, 15 or more growths585343$0
View full utilization report →

Insurance plans in this area (ZIP 89509)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153609813View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
Physician AssistantNV
Physician AssistantID
D E R M A T O L O G YNV
-AK
-ID
D E R M A T O L O G YOH
Physician AssistantTX
Physician AssistantOR
Physician AssistantOR

Reviews

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Frequently asked questions

What federal number belongs to TAMARA VANDYKE (PA-C)?
The federal identifier for TAMARA VANDYKE (PA-C) is NPI 1427053685.
Is TAMARA VANDYKE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize TAMARA VANDYKE (PA-C)'s specialty in plain language?
Clinically, the directory lists TAMARA VANDYKE (PA-C) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for TAMARA VANDYKE (PA-C)?
We surface Reno, Nevada for TAMARA VANDYKE (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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