GENEVIEVE T BASTOS (PMHNP) – Nurse Practitioner, NPI 1902843774
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for GENEVIEVE T BASTOS (PMHNP)
300 68TH ST SE
GRAND RAPIDS, MI 495486927
Phone: (616) 455-5000
Type: Mailing
8001 Angling Rd
Portage, MI 490247422
Phone: (269) 329-0944
Type: Location
6505 Cherry Meadow Dr SE
Caledonia, MI 493169484
Phone: (616) 891-8770
Type: Location
5943, Stadium Drive, Oshtemo, Oshtemo Township, Kalamazoo County, Michigan, 49009, United States
STE 3
KALAMAZOO, MI 490093016
Phone:
Type: Mailing
2700, East Centre Avenue, Portage, Kalamazoo County, Michigan, 49002, United States
PORTAGE, MI 490025500
Phone: (269) 286-7050
Fax: (269) 286-7051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $261.
Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($95).
Total Amount
$261
General + Research + Ownership
Payments
13
Total payment records
General Amount
$261
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
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: 2006-01-23
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 |
|---|---|---|---|---|
| I20060123000704 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49548)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| Clinical Social Worker | IA | |
| P S Y C H I A T R Y | MI | |
| Clinical Psychologist | MI | |
| - | MI | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | MI | |
| Clinical Psychologist | MI | |
| Clinical Social Worker | MI |
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