NPIMap

Individual provider Active NPI

Christine M Mackie, M.D.

  • Family Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1437140126
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME94225 Issued in FL
Practice address
4304 Del Prado Blvd S
Cape Coral, FL 33904-7169
Phone
(239) 540-0800
Fax
(239) 540-0806
NPI assigned
Nov 2, 2005
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME94225 FL Primary

Addresses

Primary practice location

4304 Del Prado Blvd S
Cape Coral, FL 33904-7169

Mailing address

4304 Del Prado Blvd S
Cape Coral, FL 33904-7169
Phone (239) 540-0800

Other identifiers 4

IdentifierTypeStateIssuer
CC4198OtherFLRAILROAD MEDICARE GROUP #
P00379350OtherFLRAILROAD MEDICARE PIN
273771000MedicaidFL
29322OtherFLBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051008000144 FL Practitioner - General Practice 5496746992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Arizona College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vijay Ganatra M D P aGroup PAC ID 4880727866, 12 clinicians

Practice addresses (Care Compare)

13770 Plantation Rd
Suite 4
For Myers, FL 33921-4460
Phone (239) 561-6263

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vijay Ganatra, M.D., P.a. CurrentSince Jun 19, 2025 Accepting new patients
Excellence Medical Centers,LLC CurrentSince Sep 21, 2010 Accepting new patients
Lee Health System Inc CurrentSince Nov 23, 2024 Accepting new patients
Lee Health System Inc Family Medicine CurrentSince Nov 23, 2024 Accepting new patients
Physicians Primary Care of Southwest Florida PL Family Medicine Past Accepting new patients
NH Medical Institute LLC Family Medicine PastSince Sep 21, 2010 Accepting new patients
Mercy Medical Center Past Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

4304 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 471-7407

4406 SE 16th Pl
Ste 104
Cape Coral, FL 33904
Phone (239) 471-7148

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

13770 Plantation Rd
Ste 4
Fort Myers, FL 33912
Phone (239) 561-6263

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: christine.mackie.1@5081.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3559/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/5081/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1437140126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047169",
            "telephone_number": "239-540-0800",
            "fax_number": "239-540-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047169",
            "telephone_number": "239-540-0800",
            "fax_number": "239-540-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CC4198",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00379350",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273771000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "29322",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.