MANDY R D'AGOSTINO (FNP-C) – Family Nurse Practitioner, NPI 1528384823
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for MANDY R D'AGOSTINO (FNP-C)
2230, South Springfield Avenue, Bolivar, Polk County, Missouri, 65613, United States
STE H
BOLIVAR, MO 656139133
Phone: (417) 777-4800
Fax: (417) 326-7300
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 103 Open Payments records for all available years, with a total value of $1,976.
Total Amount is formed as General ($1,976) + Research ($0) + Ownership ($0) = $1,976.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($325).
Total Amount
$1,976
General + Research + Ownership
Payments
103
Total payment records
General Amount
$1,976
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $325 |
| ABBVIE INC. | $305 |
| Lilly USA, LLC | $287 |
| AstraZeneca Pharmaceuticals LP | $262 |
| Eisai Inc. | $92 |
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: 2010-07-09
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 |
|---|---|---|---|---|
| I20100709000157 | I | Nurse Practitioner | MO | 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 65613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| Urology, Internal Medicine | MO | |
| - | MO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Dermatology | MO | |
| Hospitalist, Internal Medicine | KS | |
| Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | MO | |
| Diagnostic Radiology | MO |
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