SUSANNE BLANCHETTE MACKIE-LEE MD MPH
NPI 1073504759
Pediatrics in Gainesville, VA
About Susanne Blanchette Mackie-lee Md Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSANNE BLANCHETTE MACKIE-LEE MD MPH (NPI 1073504759) is an individual pediatrics provider in Gainesville, Virginia, licensed in Virginia (0101055325) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Manassas.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susanne Blanchette Mackie-lee Md Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susanne Mackie-lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Haymarket, VA 20169
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susanne Mackie-lee's NPI number?
The NPI number for Susanne Mackie-lee is 1073504759. It was assigned to this individual provider in the NPPES registry on November 2, 2005.
Where is Susanne Mackie-lee located?
Susanne Mackie-lee practices at 7500 Iron Bar Ln, Gainesville, VA 20155. The listed phone number is (703) 753-6772.
What is Susanne Mackie-lee's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Susanne Mackie-lee enrolled in Medicare?
Yes. Susanne Mackie-lee is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susanne Mackie-lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susanne Mackie-lee reassigns Medicare benefits to Emergency Medicine Associates P.A., P.C. (Haymarket, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susanne Mackie-lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susanne Mackie-lee was last updated on August 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Susanne Blanchette Mackie-Lee, MD MPH · NPI 1073504759
Pediatrics physician in Gainesville, Virginia. Individual provider, active in the CMS NPPES registry since November 2, 2005.
## Identity
- **NPI:** 1073504759 (Entity type: Individual)
- **Enumerated:** November 2, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 0101055325 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 7500 IRON BAR LN, Gainesville, VA 20155
- **Phone:** (703) 753-6772
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Medicine Associates P.A., P.C. (NPI 1912862244, Haymarket, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2019
- **Other identifiers:** Medicaid 006731911 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073504759) · Data from the CMS NPPES public registry.