Kiva Da-Shan Bauswell, A-GNP
NPI 1508531088ActiveIndividual· Nurse Practitioner, Gerontology· Grand Rapids, MI
Nurse Practitioner, Gerontology (A-GNP) with Spectrum Health Primary Care Partners, practicing in Grand Rapids, Michigan. 29 Medicare patients in 2024, $11,647 paid; nearly all of their 246 Part D prescriptions were generic (96%).
Overview
| NPI | 1508531088 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | A-GNP |
| Sole proprietor | No |
| NPI issued | Aug 16, 2021 |
| Last updated in NPPES | May 4, 2023 |
| Certified by provider | May 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 4704291746 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 144 across 8 procedure codes |
| Paid by Medicare | $11,647 |
Part D prescriptions in 2024
| Prescriptions (claims) | 246 · 315 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $6,659 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Spectrum Health Primary Care PartnersGrand Rapids, MI · 2,294 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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