LILY RKL BASTIAN (CNM) – Advanced Practice Midwife, NPI 1104140029
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
311 CERTIFIED NURSE MIDWIFE (CNM) in CA
Provider Addresses for LILY RKL BASTIAN (CNM)
583 Summerfield Rd
Santa Rosa, CA 954055239
Phone: (707) 539-1544
Type: Location
201 E NICOLLET BLVD
BURNSVILLE, MN 553375714
Phone: (952) 892-2000
Type: Location
583, Summerfield Road, Santa Rosa, Sonoma County, California, 95405, United States
SANTA ROSA, CA 954055239
Phone: (707) 539-1544
Type: Location
Duncan Street, Mission, San Francisco, California, 94110, United States
SAN FRANCISCO, CA 941312019
Phone: (151) 071-7734
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-12-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211213001534 | I | Certified Nurse Midwife (Cnm) | MN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Internal Medicine | MN | |
| - | MN | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| Internal Medicine | MN | |
| - | MN |
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