Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MANDY R D'AGOSTINO FNP-C
NPI 1528384823
Nurse Practitioner - Family in Bolivar, MO

Q: What is Mandy D'agostino's NPI number?

The NPI number for Mandy D'agostino is 1528384823. It was assigned to this individual provider in the NPPES registry on April 12, 2010. The provider is also known as Mandy R Hotmer.

Q: What is Mandy D'agostino's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mandy D'agostino was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.

Active since April 12, 2010PECOS EnrolledAccepts Medicare Assignment

1240 N BUTTERFIELD RD, BOLIVAR, MO 65613(417) 326-6021 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 25, 2026, Apr 23, 2021 (2 updates tracked since 2021).

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About Mandy R D'agostino Fnp-c NPPES

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

MANDY R D'AGOSTINO FNP-C (NPI 1528384823) is an individual family provider in Bolivar, Missouri, licensed in Missouri (2010009032) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1528384823

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMANDY R D'AGOSTINOCredential: FNP-C

Location Address1240 N BUTTERFIELD RDBolivar, MO 65613-3016

Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 326-6000

Phone(417) 326-6021

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 12, 2010

Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1528384823 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 MO · 2010009032

1240 N BUTTERFIELD RD, Bolivar, MO 65613

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Other Names 1

Former Name (1)Mandy R Hotmer

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mandy R D'agostino Fnp-c 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 ID4385776384

PECOS Enrollment IDI20100709000157

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.

Hospital Affiliations CMS Care Compare

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

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260195

Location1500 N OaklandBolivar, MO 65613 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65613 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

BOLIVAR FAMILY CARE CENTER, LLC

Family Medicine