Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mandie E Bagwell, APN

Individual provider Family Nurse Practitioner · NPI 1720214794

Mandie E Bagwell, APN is a Nurse Practitioner in Carterville, Illinois. Qualified in 2008, 18 years ago. Practices with Integrated Health of Southern Illinois Ltd, a 23-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

310 W Plaza Dr
Carterville, IL 62918-1980
Phone: (618) 985-4344
Fax: (618) 985-6469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209007566 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209007566 (IL)

Record details

NPI number1720214794
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJune 4, 2009
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address310 W Plaza Dr, Carterville, IL 62918-1980

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Integrated Health Of Southern Illinois Ltd — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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