MINDY KAY WORTMANN (NP) – Nurse Practitioner, NPI 1962993584

MINDY KAY WORTMANN (NP) is a healthcare provider. based in Chesterfield, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2018030076 (MO). The NPI Number for MINDY KAY WORTMANN (NP) is 1962993584

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MINDY KAY WORTMANN (NP)
NPI
1962993584
Phone
(636) 933-2243
Address
PO BOX 3891
Enumeration Date
21 May 2018
Last Update Date
8 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6369332243
Graduation Year
2018 (8 years ago)
PAC ID
7315290467
Group Practice PAC ID
1153451919
Professional Enrollment ID
I20181019000741
Address ID
MO630281177FE1405XBLVD400

Contacts

Secure Messaging
mindy.wortmann@ipi.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MINDY KAY WORTMANN (NP)

  • PO BOX 3891

    CHESTERFIELD, MO 630063891

    Phone: (636) 933-2243

    Type: Mailing

  • 1405, North Truman Boulevard, Crystal City, Jefferson County, Missouri, 63048, United States

    FESTUS, MO 630281177

    Phone: (636) 933-2243

    Fax: (636) 933-2252

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $2,067.

Total Amount is formed as General ($2,067) + Research ($0) + Ownership ($0) = $2,067.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Nevro Corp. ($566).

Total Amount

$2,067

General + Research + Ownership

Payments

30

Total payment records

General Amount

$2,067

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181019000741INurse PractitionerMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes685286$0
99213Established patient office or other outpatient visit, 20-29 minutes373268$0
95972Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming14778$0
77002Fluoroscopic guidance for needle placement10573$0
20610Aspiration and/or injection of fluid from large joint9269$0
View full utilization report →

Insurance plans in this area (ZIP 63006)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153451919View full group profile
NameSpecialtyState
Interventional Pain Management, Anesthesiology, Anesthesiology, Pain ManagementMO
Interventional Pain ManagementIL
Pain ManagementMO
Orthopedic SurgeryIL
Diagnostic Radiology, Interventional Radiology, Interventional RadiologyMO
Nurse PractitionerMO
Nurse PractitionerMO
Interventional Pain Management, AnesthesiologyNC

Reviews

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Frequently asked questions

What is the standard ID for MINDY KAY WORTMANN (NP) in the U.S.?
In the U.S., MINDY KAY WORTMANN (NP) is identified by NPI 1962993584.
Is MINDY KAY WORTMANN (NP) currently accepting referrals based on NPI status?
Registry metadata lists MINDY KAY WORTMANN (NP) as active.
How should patients interpret MINDY KAY WORTMANN (NP)'s specialty?
The extract shows Nurse Practitioner for MINDY KAY WORTMANN (NP). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MINDY KAY WORTMANN (NP)?
MINDY KAY WORTMANN (NP) is associated with Chesterfield, Missouri in the same public data insurers reference.
Who maintains MINDY KAY WORTMANN (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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