MRS. MINDY M DUDENBOSTEL CNP
NPI 1447603246
Nurse Practitioner - Family in Chester, IL

Active since July 15, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1900 STATE ST, CHESTER, IL 62233(618) 826-2388(618) 826-5139 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2024, Sep 15, 2021, Feb 4, 2021 and 2 more (5 updates tracked since 2016).

About Mrs. Mindy M Dudenbostel Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MINDY M DUDENBOSTEL CNP (NPI 1447603246) is an individual family provider in Chester, Illinois, licensed in Illinois (209014495) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains a secondary practice location in Steeleville.

NPPES Registry Identity

NPI1447603246
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MINDY M DUDENBOSTELCredential: CNP
Location Address1900 STATE STChester, IL 62233-1116
Mailing Address1900 State StChester, IL 62233-1116 · (618) 826-4581
Fax(618) 826-5139
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 15, 2016
Last NPPES UpdateJanuary 22, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1447603246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209014495
1900 STATE ST, Chester, IL 62233

Other Names 1

Former Name (1)Ms. Mindy M Grace

Secondary Practice Location 1

Location 1602 W Shawneetown TrlSteeleville, IL 62288-1126 · Phone (618) 965-3382

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mindy M Dudenbostel Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274884937
PECOS Enrollment IDI20180920000156
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mindy Dudenbostel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1900 STATE ST
Chester, IL 62233
  • Reassigned Medicare billing, Illinois enrollment
  • 62 clinicians in this Medicare group
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Critical Access Hospitals · Chester, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141338
Location1900 State StChester, IL 62233 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1900 STATE ST
CHESTER, IL 62233
Physical Therapist
1900 STATE ST
CHESTER, IL 62233
Specialist
1900 STATE ST
CHESTER, IL 62233
Radiology (Diagnostic Radiology)
1900 STATE ST, CHESTER MEMORIAL HOSPITAL
CHESTER, IL 62233
Specialist
1900 STATE ST
CHESTER, IL 62233
Occupational Therapist
1900 STATE ST
CHESTER, IL 62233
Family Medicine
1900 STATE ST
CHESTER, IL 62233
Pharmacist
1900 STATE ST
CHESTER, IL 62233

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 Mindy Dudenbostel's NPI number?

The NPI number for Mindy Dudenbostel is 1447603246. It was assigned to this individual provider in the NPPES registry on July 15, 2016. The provider is also known as Ms. Mindy M Grace.

Where is Mindy Dudenbostel located?

Mindy Dudenbostel practices at 1900 State St, Chester, IL 62233. The listed phone number is (618) 826-2388.

What is Mindy Dudenbostel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mindy Dudenbostel enrolled in Medicare?

Yes. Mindy Dudenbostel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mindy Dudenbostel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mindy Dudenbostel reassigns Medicare benefits to 2 organizations: Memorial Hospital (Chester, IL) and Southern Illinois Medical Services, Nfp (Carbondale, IL). Each 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 Mindy Dudenbostel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mindy Dudenbostel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mindy Dudenbostel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mindy Dudenbostel affiliated with any hospitals?

According to CMS data, Mindy Dudenbostel is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mindy Dudenbostel was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.