Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maranda Naomi Koch

Individual provider Physician Assistant · NPI 1598571200

Maranda Naomi Koch is a Physician Assistant in Buffalo, Wyoming. Qualified in 2025, 1 year ago. Practices with Family Medical Center, a 22-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
1
Licensed in
WY
In the registry since
2024

Practice location Address checks out

497 W Lott St
Buffalo, WY 82834-1658
Phone: (307) 684-5521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PT1430 (WY)

Record details

NPI number1598571200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Family Medical Center — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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