MANDIE E BAGWELL APN
NPI 1720214794
Nurse Practitioner - Psychiatric/Mental Health in Carterville, IL

Active since June 04, 2009PECOS EnrolledAccepts Medicare Assignment
310 W PLAZA DR, CARTERVILLE, IL 62918(618) 985-4344(618) 985-6469 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1720214794
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMANDIE E BAGWELLCredential: APN
Location Address310 W PLAZA DRCarterville, IL 62918-1980
Mailing Address310 W Plaza DrCarterville, IL 62918-1980 · (618) 985-4344 · Fax (618) 985-6469
Fax(618) 985-6469
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 4, 2009
Last NPPES UpdateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
✔ NPI 1720214794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209007566
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209007566 (IL)
310 W PLAZA DR, Carterville, IL 62918

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

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.

PECOS PAC ID5698820298
PECOS Enrollment IDI20090903000388
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 Mandie Bagwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Mental Health
1163 PARK STREET RD
Mulkeytown, IL 62865
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
Sports Medicine
303 S COMMERCIAL ST, STE 10
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 34 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.

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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 8

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

Nurse Practitioner (Psychiatric/Mental Health)
310 W PLAZA DR
CARTERVILLE, IL 62918
Social Worker
310 W PLAZA DR
CARTERVILLE, IL 62918
Counselor (Mental Health)
310 W PLAZA DR
CARTERVILLE, IL 62918
Chiropractor
310 W PLAZA DR
CARTERVILLE, IL 62918
Nurse Practitioner (Family)
310 W PLAZA DR
CARTERVILLE, IL 62918
Occupational Therapy Assistant
310 W PLAZA DR
CARTERVILLE, IL 62918
Family Medicine
310 W PLAZA DR
CARTERVILLE, IL 62918
Counselor (Professional)
310 W PLAZA DR
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.

Which organizations bill Medicare for Mandie Bagwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandie Bagwell reassigns Medicare benefits to 2 organizations: Be Well Collaborative PLLC (Mulkeytown, IL) and Integrated Health Of Southern Illinois, Ltd. (Harrisburg, 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 Mandie Bagwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mandie Bagwell accept?

Health plans from Oscar Health list Mandie Bagwell 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.

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 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.