MANDIE E BAGWELL APN
NPI 1720214794
Nurse Practitioner - Psychiatric/Mental Health in Carterville, IL
About Mandie E Bagwell Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDIE E BAGWELL APN (NPI 1720214794) is an individual psychiatric/mental health provider in Carterville, Illinois, licensed in Illinois (209007566) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
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
Mandie E Bagwell Apn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62918 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARTERVILLE, IL 62918
CARTERVILLE, IL 62918
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 Mandie Bagwell's NPI number?
The NPI number for Mandie Bagwell is 1720214794. It was assigned to this individual provider in the NPPES registry on June 4, 2009.
Where is Mandie Bagwell located?
Mandie Bagwell practices at 310 W Plaza Dr, Carterville, IL 62918. The listed phone number is (618) 985-4344.
What is Mandie Bagwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mandie Bagwell enrolled in Medicare?
Yes. Mandie Bagwell 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.
When was this NPI record last updated?
The NPPES record for Mandie Bagwell was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mandie E Bagwell, APN · NPI 1720214794
Psychiatric/Mental Health physician in Carterville, Illinois. Individual provider, active in the CMS NPPES registry since June 4, 2009.
## Identity
- **NPI:** 1720214794 (Entity type: Individual)
- **Enumerated:** June 4, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209007566 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 310 W PLAZA DR, Carterville, IL 62918-1980
- **Phone:** (618) 985-4344 · **Fax:** (618) 985-6469
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720214794) · Data from the CMS NPPES public registry.