Individual provider Active NPI

Maranda Catherine Gary, FNP

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1033547658
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018944 Issued in FL
Practice address
1921 Waldemere St Ste 701
Sarasota, FL 34239-2913
Phone
(941) 917-8900
Fax
(941) 917-8955
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704253397 MI
Family Nurse Practitioner 363LF0000X APRN11018944 FL Primary
Nurse Practitioner 363L00000X 4704253397 MI

Addresses

Primary practice location

1921 Waldemere St Ste 701
Sarasota, FL 34239-2913

Mailing address

PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600

Other practice location 1

601 John St
Suite M124
Kalamazoo, MI 49007-5341
Phone (269) 341-7500

Other practice location 2

2122 Health Drive
Wyoming, MI 49519
Phone (616) 252-5790

Other practice location 3

7125 Stadium Dr
Kalamazoo, MI 49009-4943
Phone (269) 492-6575

Other identifiers 1

IdentifierTypeStateIssuer
D160078452MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgary99363@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, SD, WV, TN, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20140205000345 MI Practitioner - Nurse Practitioner 8224267695 Reassigns benefits to 4 organizations
I20230711003194 FL Practitioner - Nurse Practitioner 8224267695 Reassigns benefits to 1 organization
I20241125003668 SD Practitioner - Nurse Practitioner 8224267695 Reassigns benefits to 1 organization
I20250423001616 WV Practitioner - Nurse Practitioner 8224267695 Reassigns benefits to 1 organization
I20250620002402 TN Practitioner - Nurse Practitioner 8224267695 Reassigns benefits to 1 organization
I20250707002424 TX Practitioner - Nurse Practitioner 8224267695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

Chancellor, SD 57015
Phone (972) 449-0540

100 Sadie LN
Morgantown, WV 26508-1166
Phone (972) 449-0540

1710 Harper Rd
Beckley, WV 25801-3357
Phone (972) 449-0540

1921 Waldemere St
Suite 701
Sarasota, FL 34239-2913
Phone (941) 917-8900

305 S State St
Aberdeen, SD 57401-4527
Phone (972) 449-0540

801 E Sioux Ave
Pierre, SD 57501-3323
Phone (972) 449-0540

8429 Tuttle Ave
Sarasota, FL 34243-2868
Phone (941) 413-1550

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital CurrentSince Jan 1, 2018 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince May 1, 2015 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 1, 2015 Accepting new patients
Bronson Battle Creek Hospital Nurse Practitioner CurrentSince May 1, 2015 Accepting new patients
SMH Physician Services Inc Nurse Practitioner CurrentSince Sep 15, 2025 Accepting new patients
SMH Physician Services Inc Past Accepting new patients

Locations

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1921 Waldemere St
Ste 701
Sarasota, FL 34239
Phone (941) 487-2160

632 North Ave
Battle Creek, MI 49017
Phone (269) 969-6145

2845 Capital Ave SW
Ste 302
Battle Creek, MI 49015
Phone (269) 324-0799

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

6563 W Main St
Kalamazoo, MI 49009
Phone (269) 233-9191

601 John St
Ste W-308
Kalamazoo, MI 49007
Phone (269) 341-8827

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

2122 Health Dr SW
Wyoming, MI 49519
Phone (616) 252-5950

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mgary99363@direct.covenanthealthcare.com
  • Direct secure messaging: maranda.gary@fpg.directbygreenway.com

Organizations & group practices 8

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 2

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": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1033547658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST STE 701",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392913",
            "telephone_number": "941-917-8900",
            "fax_number": "941-917-8955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St",
            "address_2": "Suite M124",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075341",
            "country_code": "US",
            "telephone_number": "269-341-7500",
            "fax_number": "269-341-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2122 Health Drive",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "49519",
            "country_code": "US",
            "telephone_number": "616-252-5790",
            "fax_number": "616-252-5793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7125 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490094943",
            "country_code": "US",
            "telephone_number": "269-492-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARY",
        "first_name": "MARANDA",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704253397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018944",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704253397",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D160078452",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgary99363@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "7125 Stadium Dr",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490094943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.