Active NPI
Grace Kathleen Bontrager
- Advanced Practice Midwife
- Leesburg, VA
National Provider Identifier
1639028699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 0024196126
- Practice address
- 19450 Deerfield Ave Ste 460
Leesburg, VA 20176-6840 - Phone
- (571) 707-8522
- NPI assigned
- Jan 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 0024196126 | VA | Primary |
Addresses
Primary practice location
19450 Deerfield Ave Ste 460
Leesburg, VA 20176-6840
Mailing address
1715 15TH St NW Apt 51
Washington, DC 20009-3878
Phone (571) 707-8522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Georgetown University School of Medicine, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 81310
Cleveland, OH 44181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024196126 | VA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Women's Care, L.L.C. | Current | Accepting new patients |
Locations
19450 Deerfield Ave
Ste 460
Leesburg, VA 20176
Phone (571) 707-8522
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1639028699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 15TH ST NW APT 51",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093878",
"telephone_number": "571-707-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19450 DEERFIELD AVE STE 460",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201766840",
"telephone_number": "571-707-8522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONTRAGER",
"first_name": "GRACE",
"middle_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "VA",
"license": "0024196126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.