Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genevieve T Bastos, PMHNP

Individual provider Pediatric Nurse Practitioner · NPI 1902843774

Genevieve T Bastos, PMHNP is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2005, 21 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6505 Cherry Meadow Dr Se, Caledonia, MI 49316-9484 — (616) 891-8770
  • 8001 Angling Rd, Portage, MI 49024-7422 — (269) 329-0944

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704216473 (MI)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 4704216473 (MI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4704216473 (MI)

Record details

NPI number1902843774
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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