Individual provider Active NPI

Peter Blake Grangaard, PA

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1356886733
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12277 Issued in MN
Practice address
1945 Versailles St
Sarasota, FL 34239-6900
Phone
(941) 365-0770
Fax
(833) 974-1480
NPI assigned
Dec 21, 2016
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12277 MN Primary
Physician Assistant 363A00000X PA9116924 FL

Addresses

Primary practice location

1945 Versailles St
Sarasota, FL 34239-6900

Mailing address

1945 Versailles St
Sarasota, FL 34239-6900
Phone (941) 365-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230208000176 FL Practitioner - Physician Assistant 2163703893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weitzner Yonker and Kaine MD PAGroup PAC ID 3072598655, 16 clinicians

Practice addresses (Care Compare)

1225 Jacaranda Blvd
Venice, FL 34292-4521
Phone 94136507701028

411 Commercial CT
Suite D
Venice, FL 34292-1650
Phone (941) 484-4409

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.82 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
0
Cost
75.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12277MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Medical Partners, PLLC CurrentSince Jan 5, 2023 Accepting new patients

Locations

333 Tamiami Trl S
Ste 169171
Venice, FL 34285
Phone (941) 375-3006

Interoperability endpoints

  • Direct secure messaging: peter.grangaard.p1@direct.sarasotaarthritis.nextgenshare.com

Organizations & group practices 2

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.

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": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1356886733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 VERSAILLES ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396900",
            "telephone_number": "941-365-0770",
            "fax_number": "833-974-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 VERSAILLES ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396900",
            "telephone_number": "941-365-0770",
            "fax_number": "833-974-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGAARD",
        "first_name": "PETER",
        "middle_name": "BLAKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12277",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.