AMY LYNN BOSHOVEN (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1336135557
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
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Provider Addresses for AMY LYNN BOSHOVEN (NP)
211, Auburn Avenue Southeast, Grand Rapids, Kent County, Michigan, 49506, United States
GRAND RAPIDS, MI 495061677
Phone: (616) 336-0937
Type: Mailing
1055, Medical Park Drive Southeast, Eastmont, Grand Rapids Charter Township, Kent County, Michigan, 49546, United States
GRAND RAPIDS, MI 495463607
Phone: (616) 942-9610
Fax: (616) 957-2382
Type: Location
790 Fuller AVE NE
Grand Rapids, MI 495031918
Phone: (616) 336-3909
Fax: (616) 336-8830
Type: Location
1055 Medical Park Dr SE
Grand Rapids, MI 495463607
Phone: (616) 942-9610
Fax: (616) 957-2382
Type: Location
15146 16TH AVE
MARNE, MI 494359605
Phone: (616) 288-6970
Fax: (616) 341-6013
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($46).
Total Amount
$72
General + Research + Ownership
Payments
3
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-04-10
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 |
|---|---|---|---|---|
| I20080410000072 | I | Nurse Practitioner | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 168 | 63 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 118 | 39 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 44 | 44 | $0 |
Insurance plans in this area (ZIP 49506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| P S Y C H I A T R Y | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | MI |
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