Active NPI
Christiaan Nikolaje Mamczak, DO
- Orthopaedic Trauma Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- OS18452
- Practice address
- 125 Baptist Way Ste 4a
Pensacola, FL 32503-2274 - Phone
- (448) 227-6480
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | OS18452 | FL | Primary |
Addresses
Primary practice location
125 Baptist Way Ste 4a
Pensacola, FL 32503-2274
Mailing address
PO Box 95590
South Jordan, UT 84095-0590
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O5607 | Other | FL | MEDICARE |
| 113496800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmamczak@mybeacon.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Baptist Way
Suite 4B
Pensacola, FL 32503-2254
Phone (850) 437-8711
Hospital & facility affiliations
- Baptist Home Health Care
- Medi Home Health Agency
- Baptist Hospital
- Gulf Breeze Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.36 of 100
- Quality
- 84.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.01 of 100
- Quality
- 62.34
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.51
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Baptist Medical Group LLC | Orthopaedic Trauma | Current | Accepting new patients |
| Baptist Medical Group LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1040 Gulf Breeze Pkwy
Ste 205
Gulf Breeze, FL 32561
Phone (850) 469-0642
1040 Gulf Breeze Pkwy
Ste 204
Gulf Breeze, FL 32561
Phone (850) 469-7771
9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256
125 Baptist Way
Ste 4A
Pensacola, FL 32503
Phone (448) 227-6360
125 Baptist Way
Ste 6A
Pensacola, FL 32503
Phone (448) 227-8053
125 Baptist Way
Ste 4B
Pensacola, FL 32503
Phone (448) 227-6350
Interoperability endpoints
- cmamczak@mybeacon.cernerdirect.com
- cmamczak344050@orlandohealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Pensacola, FL
- NPI 1376779892
Orthopaedic Trauma
-
- Orthopaedic Surgery Physician
- Pensacola, FL
- NPI 1629749692
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- Home Health Agency
- Pensacola, FL
- NPI 1124337894
-
- Home Health Agency
- Pensacola, FL
- NPI 1568415099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1912112384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95590",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840950590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BAPTIST WAY STE 4A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032274",
"telephone_number": "448-227-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMCZAK",
"first_name": "CHRISTIAAN",
"middle_name": "NIKOLAJE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "FL",
"license": "OS18452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "O5607",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113496800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmamczak@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "100 Navarre Pl Ste 4440",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466011171",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.