BETHANY ANN WAIT (DO) – Family Medicine Physician, NPI 1447458096

BETHANY ANN WAIT (DO) is a healthcare provider. based in Goshen, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 02003383A (IN). The NPI Number for BETHANY ANN WAIT (DO) is 1447458096

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY ANN WAIT (DO)
NPI
1447458096
Phone
(574) 534-8200
Address
1811 CHARLTON CT
Enumeration Date
5 July 2007
Last Update Date
22 June 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5742349033
Graduation Year
2007 (19 years ago)
PAC ID
6002972544
Group Practice PAC ID
3971599473
Professional Enrollment ID
I20090306000493
Address ID
IN466193570SO1901XBXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

Provider Addresses for BETHANY ANN WAIT (DO)

  • 1811 CHARLTON CT

    GOSHEN, IN 465266464

    Phone: (574) 534-8200

    Type: Mailing

  • 8003 CASTLEWAY DR

    INDIANAPOLIS, IN 462501946

    Phone: (317) 576-1335

    Fax: (317) 343-6562

    Type: Mailing

  • 1901 W WESTERN AVE STE B

    SOUTH BEND, IN 466193521

    Phone: (574) 234-9033

    Fax: (574) 847-7200

    Type: Location

  • 608 OAKLAND AVE

    ELKHART, IN 465162116

    Phone: (574) 523-2105

    Fax: (574) 295-6186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $874.

Total Amount is formed as General ($874) + Research ($0) + Ownership ($0) = $874.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($369).

Total Amount

$874

General + Research + Ownership

Payments

48

Total payment records

General Amount

$874

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-03-06

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
I20090306000493IFamily PracticeINTBD

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 46526)

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Provider's Procedures

BETHANY ANN WAIT (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIN83036Hemoglobin A1C level5533
FAMILY MEDICINEIN85610Blood test, clotting time10928

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: 3971599473View full group profile
NameSpecialtyState
Family PracticeIN
Mental Health CounselorIN
Nurse PractitionerIN
Mental Health CounselorIN
Nurse PractitionerIN
C H I R O P R A C T I CMO
Nurse PractitionerIN
Physician AssistantIN
Family PracticeIN
Nurse PractitionerMI

Reviews

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Frequently asked questions

Does BETHANY ANN WAIT (DO) have a public NPI I can cite?
Public records show BETHANY ANN WAIT (DO) under NPI 1447458096.
Quick check: is BETHANY ANN WAIT (DO) active?
Public NPPES data shows BETHANY ANN WAIT (DO) with an active NPI status right now.
What services align with BETHANY ANN WAIT (DO)'s listing?
BETHANY ANN WAIT (DO)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is BETHANY ANN WAIT (DO) tied to Goshen, Indiana?
If you are local to Goshen, Indiana, BETHANY ANN WAIT (DO) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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