Individual provider Active NPI

Spencer K Michalke, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1801155064
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME173641 Issued in FL
Practice address
8925 Colonial Center Dr Ste 1000
Fort Myers, FL 33905-7813
Phone
(239) 396-8930
Fax
(239) 396-8932
NPI assigned
May 9, 2012
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 62006 AZ
Plastic Surgery Physician 208200000X 13930346-1205 UT
Plastic and Reconstructive Surgery Physician 2086S0122X ME173641 FL Primary

Addresses

Primary practice location

8925 Colonial Center Dr Ste 1000
Fort Myers, FL 33905-7813

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 396-8930

Other practice location 1

5169 S Cottonwood St Ste 420
Murray, UT 84107-6769
Phone (801) 507-1650

Other identifiers 1

IdentifierTypeStateIssuer
126716100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smichalke667822@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210127000976 AZ Practitioner - Plastic and Reconstructive Surgery 0143645218 Reassigns benefits to 2 organizations
I20240618004132 UT Practitioner - Plastic and Reconstructive Surgery 0143645218 Reassigns benefits to 1 organization
I20250424003523 FL Practitioner - Plastic and Reconstructive Surgery 0143645218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Wake Forest University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

8925 Colonial Ctr Dr
Suite 2001
Fort Myers, FL 33905-7813
Phone (239) 343-9567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy19
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. Multi-Specialty CurrentSince Jul 21, 2024 Accepting new patients
Regency Ambulatory Surgery Center One, LLC CurrentSince Apr 30, 2021 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 21, 2024 Accepting new patients
Lee Health System Inc CurrentSince May 30, 2025 Accepting new patients
Mussman, PLLC Multi-Specialty CurrentSince Nov 1, 2020 Accepting new patients
Lee Health System Inc Multi-Specialty CurrentSince May 30, 2025 Accepting new patients
Ihc Health Services Inc Multi-Specialty Current Accepting new patients

Locations

10240 W Indian School Rd
Ste 115
Phoenix, AZ 85037
Phone (623) 243-9077

14725 W Mountain View Blvd
Ste 125
Surprise, AZ 85374
Phone (602) 243-9077

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

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

8925 Colonial Center Dr
Ste 1000
Fort Myers, FL 33905
Phone (239) 343-9560

8925 Colonial Center Dr
Ste 2001
Fort Myers, FL 33905
Phone (239) 343-9567

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5169 S Cottonwood St
Ste 420
Salt Lake City, UT 84107
Phone (801) 507-1650

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: smichalke667822@direct.leememorial.org

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, 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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1801155064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-396-8930",
            "fax_number": "239-396-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 COLONIAL CENTER DR STE 1000",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057813",
            "telephone_number": "239-396-8930",
            "fax_number": "239-396-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5169 S Cottonwood St Ste 420",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841076769",
            "country_code": "US",
            "telephone_number": "801-507-1650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHALKE",
        "first_name": "SPENCER",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "62006",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "13930346-1205",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME173641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126716100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smichalke667822@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.