Individual provider Active NPI

Mary Katherine Raneli, APRN

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1861036634
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004831 Issued in FL
Practice address
601 E Altamonte Dr
Altamonte Springs, FL 32701-4802
Phone
(407) 303-5700
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11004831 FL Primary

Addresses

Primary practice location

601 E Altamonte Dr
Altamonte Springs, FL 32701-4802

Mailing address

746 Maple Leaf Loop
Winter Springs, FL 32708
Phone (407) 921-3045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240305000894 CA Practitioner - Nurse Practitioner 1153756044 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004831FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Wound & Hyperbaric Specialists Inc CurrentSince Aug 15, 2025 Accepting new patients
Sutter Valley Hospitals CurrentSince Jan 21, 2024 Accepting new patients
Sutter Valley Hospitals Current Accepting new patients
Sutter Valley Hospitals CurrentSince Jan 21, 2024 Accepting new patients

Locations

2255 Morello Ave
Ste 121
Pleasant Hill, CA 94523
Phone (510) 224-6556

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

1625 Stockton Blvd
Ste 112
Sacramento, CA 95816
Phone (916) 887-4001

Interoperability endpoints

  • Direct secure messaging: mraneli614561@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1861036634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 MAPLE LEAF LOOP",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "32708",
            "telephone_number": "407-921-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014802",
            "telephone_number": "407-303-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANELI",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.