MARANDA NAOMI KOCH
NPI 1598571200
Physician Assistant in Buffalo, WY

Q: What is Maranda Koch's NPI number?

The NPI number for Maranda Koch is 1598571200. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Q: What is Maranda Koch's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Maranda Koch was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 06, 2024PECOS EnrolledAccepts Medicare Assignment

497 W LOTT ST, BUFFALO, WY 82834(307) 684-5521 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 4, 2026, Sep 17, 2025, Dec 6, 2024 (3 updates tracked since 2024).

On this page

About Maranda Naomi Koch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARANDA NAOMI KOCH (NPI 1598571200) is an individual physician assistant in Buffalo, Wyoming, licensed in Wyoming (PT1430) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Johnson County Healthcare Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1598571200

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARANDA NAOMI KOCH

Location Address497 W LOTT STBuffalo, WY 82834-1658

Mailing AddressPo Box 3630Flagstaff, AZ 86003-3630 · (928) 522-9879

Phone(307) 684-5521

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 6, 2024

Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1598571200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WY · PT1430

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

497 W LOTT ST, Buffalo, WY 82834

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maranda Naomi Koch is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638675325

PECOS Enrollment IDI20260304003288

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson County Healthcare Center

Critical Access Hospitals · Buffalo, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531308

Location497 West LottBuffalo, WY 82834 · Johnson County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$70.32 typical visit price

range $18.19 – $139.32

Typical copayment $17.58 (range $4.54 – $34.83)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. HERMILO GONZALEZ JR. MD

Family Medicine