DR. KRISTYN DAE OSWALD (MD) – Obstetrics & Gynecology Physician, NPI 1184119356

DR. KRISTYN DAE OSWALD (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 4301116087 (MI). The NPI Number for DR. KRISTYN DAE OSWALD (MD) is 1184119356

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTYN DAE OSWALD (MD)
NPI
1184119356
Phone
(616) 391-2160
Address
330 BARCLAY AVE NE STE 304
Enumeration Date
28 June 2018
Last Update Date
11 July 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6163925973
Graduation Year
2018 (8 years ago)
PAC ID
7618211939
Group Practice PAC ID
7214941244
Professional Enrollment ID
I20220714003409
Address ID
MI494234944HO664XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,739 OBSTETRICS/GYNECOLOGY in MI

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Provider Addresses for DR. KRISTYN DAE OSWALD (MD)

  • 304, Barclay Avenue Northeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495032527

    Phone: (616) 391-2160

    Fax: (616) 391-2683

    Type: Mailing

  • 664 MICHIGAN AVE

    HOLLAND, MI 494234944

    Phone: (616) 392-5973

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Gynesonics, Inc. ($104).

Total Amount

$199

General + Research + Ownership

Payments

7

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-07-14

PECOS data refreshed: 2026-06-15

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
I20220714003409IObstetrics/GynecologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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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: 7214941244View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerNY

Reviews

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Frequently asked questions

Can I cross-check DR. KRISTYN DAE OSWALD (MD) using NPI 1184119356?
NPI 1184119356 belongs to DR. KRISTYN DAE OSWALD (MD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. KRISTYN DAE OSWALD (MD)?
You should see DR. KRISTYN DAE OSWALD (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. KRISTYN DAE OSWALD (MD)?
At a glance, DR. KRISTYN DAE OSWALD (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KRISTYN DAE OSWALD (MD) associated with Grand Rapids?
Public fields place DR. KRISTYN DAE OSWALD (MD) around Grand Rapids, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. KRISTYN DAE OSWALD (MD) is noted as June 28, 2018 where the registry provides it.

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