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MINDY KAY WORTMANN NP
NPI 1962993584
Nurse Practitioner in Festus, MO

Active since May 21, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1405 N TRUMAN BLVD, FESTUS, MO 63028(636) 933-2243(636) 933-2252 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2021, Apr 5, 2019, May 21, 2018 (3 updates tracked since 2018).

About Mindy Kay Wortmann Np NPPES

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

MINDY KAY WORTMANN NP (NPI 1962993584) is an individual nurse practitioner in Festus, Missouri, licensed in Missouri (2018030076) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962993584
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMINDY KAY WORTMANNCredential: NP
Location Address1405 N TRUMAN BLVDFestus, MO 63028-1177
Mailing AddressPo Box 3891Chesterfield, MO 63006-3891 · (636) 933-2243
Phone(636) 933-2243
Fax(636) 933-2252
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 21, 2018
Last NPPES UpdateApril 8, 20213 updates tracked since enumeration
NPPES CertifiedApril 8, 2021
✔ NPI 1962993584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2018030076
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1405 N TRUMAN BLVD, Festus, MO 63028
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Mindy Kay Wortmann Np 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 ID7315290467
PECOS Enrollment IDI20181019000741
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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
774 services329 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
217 services171 patients
Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming 95972
This procedure involves electronically analyzing an implanted neurostimulator. This device sends electrical pulses to your spinal cord or peripheral nerves to manage pain. The programming is complex, requiring expert analysis to ensure proper functioning.
103 services66 patients
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370
This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.
91 services32 patients
Electronic analysis and reprogramming of spinal canal drug infusion pump 62368
This procedure involves the use of technology to assess and adjust a medication pump, implanted near the spine. The pump delivers precise doses of medication directly into the spinal canal to manage pain or spasticity. The reprogramming ensures optimal treatment.
62 services17 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
62 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Mercy Hospital Perry

Critical Access Hospitals · Perryville, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261311
Location434 North West StreetPerryville, MO 63775 · Perry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63028 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Radiology: Exposure Dose Indices Reported for Procedures Using Fluoroscopy
100%97 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

LARA TAYLOR APRN FNP-C
Nurse Practitioner
1405 N TRUMAN BLVD
FESTUS, MO 63028
Jefferson County (636) 933-2243
INTERVENTIONAL PAIN INSTITUTE, LLC
Specialist
1405 N TRUMAN BLVD
FESTUS, MO 63028
Jefferson County (636) 933-2243
DR. KENNETH RYAN SHACKELFORD DNP, APRN, FNP-BC
Nurse Practitioner (Family)
1405 N TRUMAN BLVD
FESTUS, MO 63028
Jefferson County (636) 933-2243

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 Wortmann's NPI number?

The NPI number for Mindy Wortmann is 1962993584. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Mindy Wortmann located?

Mindy Wortmann practices at 1405 N Truman Blvd, Festus, MO 63028. The listed phone number is (636) 933-2243.

What is Mindy Wortmann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mindy Wortmann enrolled in Medicare?

Yes. Mindy Wortmann 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.

What insurance does Mindy Wortmann accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Mindy Wortmann 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 Wortmann affiliated with any hospitals?

According to CMS data, Mindy Wortmann is affiliated with Mercy Hospital Jefferson, Mercy Hospital South, St Lukes Hospital, Ssm St Joseph Hospital West and Mercy Hospital Perry.

When was this NPI record last updated?

The NPPES record for Mindy Wortmann was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.