KAYLEY BRUINSMA (NP-C) – Nurse Practitioner, NPI 1689076317

KAYLEY BRUINSMA (NP-C) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 4704266227 (MI). The NPI Number for KAYLEY BRUINSMA (NP-C) is 1689076317

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KAYLEY BRUINSMA (NP-C)
NPI
1689076317
Phone
Not provided
Address
100 MICHIGN ST NE # MC845
Enumeration Date
25 September 2014
Last Update Date
28 May 2019

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
6163915600
Graduation Year
2014 (12 years ago)
PAC ID
8729208038
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20141009001049
Address ID
MI495084600KE4444XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KAYLEY BRUINSMA (NP-C)

  • 100 MICHIGN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 2776 S STATE RD

    IONIA, MI 488468472

    Phone: (616) 775-7500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: ABBVIE INC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$16
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: 2014-10-09

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
I20141009001049INurse PractitionerMITBD

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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What NPI should I save for KAYLEY BRUINSMA (NP-C)?
Save NPI 1689076317 if you need a stable reference for KAYLEY BRUINSMA (NP-C).
Does this profile mean KAYLEY BRUINSMA (NP-C) is currently active?
Yes — KAYLEY BRUINSMA (NP-C) appears active in the national provider directory.
What field does KAYLEY BRUINSMA (NP-C) work in?
You can think of KAYLEY BRUINSMA (NP-C) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KAYLEY BRUINSMA (NP-C) practice in Michigan?
You will see Grand Rapids, Michigan on file for KAYLEY BRUINSMA (NP-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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