Sandra R Gates-Manna, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71003896A Issued in IN

Practice address

1701 Broadway
Gary, IN 46407-2238

Phone

(219) 949-7540

Fax

(219) 949-7545

NPI assigned

Dec 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Okolocha Medical CorpGroup PAC ID 5597794834, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Okolocha Medical Corp.

  • Family Medicine Physician
  • Gary, IN
  • NPI 1902851330
  Medicare reassignment Care Compare group NPD
• Edgewater Systems for Balanced Living, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gary, IN
  • NPI 1588705784
  Medicare reassignment NPD
• Northwest Indiana Occupational Pain and Wellness Center, LLC

  • Occupational Medicine Clinic/Center
  • Merrillville, IN
  • NPI 1518398882
  Medicare reassignment NPD
• Wow Factor Winning Options in Wellness

  • Family Nurse Practitioner
  • Gary, IN
  • NPI 1891274882
  NPD

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

• The Methodist Hospitals, Inc

  • General Acute Care Hospital
  • Gary, IN
  • NPI 1467504555
  Care Compare affiliation

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1124396072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464072238",
            "telephone_number": "219-949-7540",
            "fax_number": "219-949-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464072238",
            "telephone_number": "219-949-7540",
            "fax_number": "219-949-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES-MANNA",
        "first_name": "SANDRA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28125285A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003896A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201059520",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000758275",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "151020006",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Neighborhood Services
• Gary Pediatric & Family Dentistry
• Gary Smiles Youth Dentistry, LLC
• Ashley Gaskins, DT-C
• Lynn E Gassoway, DDS
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Gene George
• James Tan Geulen Jr., RPT
• Gay Karen Geulen, PT

• Family Nurse Practitioner in Gary, IN
• Providers in Gary, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.