MANDIE E BAGWELL (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1720214794
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MANDIE E BAGWELL (APN)
310 W PLAZA DR
CARTERVILLE, IL 629181980
Phone: (618) 985-4344
Fax: (618) 985-6469
Type: Mailing
PO BOX 155
4241 STATE HWY 14 W
CHRISTOPHER, IL 628220155
Phone: (618) 724-2401
Fax: (618) 724-4628
Type: Mailing
IL 37, Johnston City, Williamson County, Illinois, 62951, United States
JOHNSTON CITY, IL 629513166
Phone: (618) 983-6911
Fax: (618) 983-6913
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($24).
Total Amount
$74
General + Research + Ownership
Payments
4
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090903000388 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62918)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| C H I R O P R A C T I C | IL | |
| Clinical Social Worker | IL | |
| C H I R O P R A C T I C | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| C H I R O P R A C T I C | IL | |
| Clinical Social Worker | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.