Individual provider Active NPI

Christiaan Nikolaje Mamczak, DO

  • Orthopaedic Trauma Physician
  • Pensacola, FL
National Provider Identifier
1912112384
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
OS18452 Issued in FL
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

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
O5607OtherFLMEDICARE
113496800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220407001497 FL Practitioner - Orthopedic Surgery 7911070065 Reassigns benefits to 1 organization

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
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

125 Baptist Way
Suite 4B
Pensacola, FL 32503-2254
Phone (850) 437-8711

Hospital & facility affiliations

  • Baptist Home Health Care Home health agency, Pensacola, FL, CCN 107006
  • Medi Home Health Agency Home health agency, Pensacola, FL, CCN 108240
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

Merit-based Incentive Payment System (MIPS)

Final score
96.36 of 100Reported as apm
Quality
84.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Baptist Medical Group LLC Orthopaedic Trauma CurrentSince Apr 14, 2024 Accepting new patients
Baptist Medical Group LLC Orthopaedic Surgery CurrentSince Apr 14, 2024 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

  • Direct secure messaging: cmamczak@mybeacon.cernerdirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.