"Wairarapa has been very lucky to have someone who has been able to dedicate this much time — but [who has] sadly gone totally unnoticed for what he has done," said the nominator.
Mr Pike first joined St John Ambulance as a volunteer in 1997.
"I've always wanted to ensure that anyone who comes into contact with me leaves feeling more positive," he said. "Plus, the human body is amazing — it's a hugely diverse and interesting group of organs. Even small medical interventions can have a powerful outcome."
Mr Pike now volunteers as team events manager for St John, where he organises personnel on standby at major events.
Mr Pike said he feels "very humbled, and a little embarrassed" to receive a nomination.