Individual provider Active NPI

Susan Marie Bauman, ACNP-BC

  • Acute Care Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1720375710
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704239157 Issued in MI
Practice address
1815 Henson Ave
Kalamazoo, MI 49048-1510
Phone
(269) 633-2513
Fax
(269) 633-2514
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704239157 MI Primary

Addresses

Primary practice location

1815 Henson Ave
Kalamazoo, MI 49048-1510

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-2713

Other practice location 1

711 S Health Parkway
Three Rivers, MI 49093-9387
Phone (269) 633-2070

Other practice location 2

570 Linn St Ste 1
Allegan, MI 49010-1572
Phone (269) 895-0613

Other practice location 3

199 Veterans Blvd
South Haven, MI 49090-8652
Phone (269) 633-2066

Other practice location 4

104 S Lakeview Ave
Sturgis, MI 49091-1947
Phone (269) 633-2068

Other practice location 5

601 S Health Parkway
Three Rivers, MI 49093-8351
Phone (269) 633-2075

Other practice location 6

730 Airway Dr
Allegan, MI 49010-8507
Phone (269) 895-0358

Other practice location 7

2845 Capital Ave SW
Battle Creek, MI 49015-4185
Phone (269) 633-2061

Other practice location 8

360 E Chicago St Ste 103
Coldwater, MI 49036-2086
Phone (269) 633-2063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000701 MI Practitioner - Nurse Practitioner 7911171707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paragon Health PCGroup PAC ID 1658283007, 52 clinicians

Practice addresses (Care Compare)

1815 Henson Ave
Kalamazoo, MI 49048-1510
Phone (269) 492-6502

Hospital & facility affiliations

  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Health, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1720375710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HENSON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481510",
            "telephone_number": "269-633-2513",
            "fax_number": "269-633-2514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 S Health Parkway",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490939387",
            "country_code": "US",
            "telephone_number": "269-633-2070",
            "fax_number": "269-633-2074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Linn St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Allegan",
            "state": "MI",
            "postal_code": "490101572",
            "country_code": "US",
            "telephone_number": "269-895-0613",
            "fax_number": "269-895-0614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "South Haven",
            "state": "MI",
            "postal_code": "490908652",
            "country_code": "US",
            "telephone_number": "269-633-2066",
            "fax_number": "269-633-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 S Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Sturgis",
            "state": "MI",
            "postal_code": "490911947",
            "country_code": "US",
            "telephone_number": "269-633-2068",
            "fax_number": "269-633-2069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S Health Parkway",
            "address_purpose": "LOCATION",
            "city": "Three Rivers",
            "state": "MI",
            "postal_code": "490938351",
            "country_code": "US",
            "telephone_number": "269-633-2075",
            "fax_number": "269-633-2076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Airway Dr",
            "address_purpose": "LOCATION",
            "city": "Allegan",
            "state": "MI",
            "postal_code": "490108507",
            "country_code": "US",
            "telephone_number": "269-895-0358",
            "fax_number": "269-895-0359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2845 Capital Ave SW",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490154185",
            "country_code": "US",
            "telephone_number": "269-633-2061",
            "fax_number": "269-633-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 E Chicago St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "MI",
            "postal_code": "490362086",
            "country_code": "US",
            "telephone_number": "269-633-2063",
            "fax_number": "269-633-2065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704239157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.