Individual provider Active NPI

Hanna Mackie, DO

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1043897853
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0069194 Issued in CO
Practice address
350 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone
(719) 632-5700
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X DR.0069194 CO Primary

Addresses

Primary practice location

350 Printers Pkwy
Colorado Springs, CO 80910-3190

Mailing address

3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917-5152
Phone (719) 632-5700

Other practice location 1

111 6th St
Hugo, CO 80821-2002
Phone (719) 743-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210630002751 CO Practitioner - Family Practice 8224439096 Reassigns benefits to 2 organizations
I20241007002303 MT Practitioner - Family Practice 8224439096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

3330 Ptarmigan LN
Helena, MT 59602-0521
Phone (406) 457-4180

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0069194COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Community Hospital Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
St Peter'S Health Current Accepting new patients
Peak Vista Community Health Centers CurrentSince Jun 14, 2021 Accepting new patients
St. Peter'S Health CurrentSince Sep 16, 2024 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jun 14, 2021 Accepting new patients
Lincoln Community Hospital Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
St Peters Hospital CurrentSince Sep 16, 2024 Accepting new patients

Locations

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

340 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 228-6635

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

350 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 596-2020

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

3330 Ptarmigan Ln
Helena, MT 59602
Phone (406) 442-3570

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1043897853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N ACADEMY BLVD STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175152",
            "telephone_number": "719-632-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103190",
            "telephone_number": "719-632-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 6th St",
            "address_purpose": "LOCATION",
            "city": "Hugo",
            "state": "CO",
            "postal_code": "808212002",
            "country_code": "US",
            "telephone_number": "719-743-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "HANNA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0069194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.