Individual provider Active NPI

Mariah K Garland, AGNP-C

  • Adult Health Nurse Practitioner
  • Lebanon, IN
National Provider Identifier
1528936515
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
28231980A Issued in IN
Practice address
115 Victoria CT
Lebanon, IN 46052-1057
Phone
(765) 481-6689
NPI assigned
Oct 29, 2025
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 28231980A IN Primary

Addresses

Primary practice location

115 Victoria CT
Lebanon, IN 46052-1057

Mailing address

115 Victoria CT
Lebanon, IN 46052-1057
Phone (765) 481-6689

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260207000195 IN Practitioner - Nurse Practitioner 1052890399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promed Preferred in 2 PCGroup PAC ID 5496254443, 2 clinicians

Practice addresses (Care Compare)

5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Phone (845) 738-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28231980AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Preferred in 2, PC CurrentSince Jan 4, 2026 Accepting new patients

Locations

5534 Saint Joe Rd
Fort Wayne, IN 46835
Phone (423) 502-1508

329 S Oyster Bay Rd
Plainview, NY 11803
Phone (714) 452-1961

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": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1528936515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 VICTORIA CT",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521057",
            "telephone_number": "765-481-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 VICTORIA CT",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521057",
            "telephone_number": "765-481-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "MARIAH",
        "middle_name": "K",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28231980A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

Verify at the official NPI Registry.