WANDA BONTRAGER – Skilled Nursing Facility, NPI 1093090730

WANDA BONTRAGER is a healthcare provider. based in Goshen, Indiana. specializing in Skilled Nursing Facility. They hold a License No. 31000534A (IN). The NPI Number for WANDA BONTRAGER is 1093090730

Main info

Female
Sole Proprietor
Name
WANDA BONTRAGER
NPI
1093090730
Phone
Not provided
Address
404 MOUNT VERNON DR
Enumeration Date
13 October 2011
Last Update Date
13 October 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for WANDA BONTRAGER

  • 404 MOUNT VERNON DR

    GOSHEN, IN 465261432

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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Reviews

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Frequently asked questions

How do payers reference WANDA BONTRAGER?
For WANDA BONTRAGER, use NPI 1093090730 as the unique 10-digit identifier.
Active or inactive — what applies to WANDA BONTRAGER?
You should see WANDA BONTRAGER as active in CMS-hosted NPPES data.
What expertise is attributed to WANDA BONTRAGER?
WANDA BONTRAGER's specialty line reads Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WANDA BONTRAGER?
Travel planning: use Goshen, Indiana as the reference point for WANDA BONTRAGER, then confirm.
When was this NPI issued?
Enumeration for WANDA BONTRAGER is noted as October 13, 2011 where the registry provides it.

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