Individual provider Active NPI

Jennifer Sizemore, PA

  • Physician Assistant
  • London, KY
National Provider Identifier
1083706774
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA565 Issued in KY
Practice address
1210 W 5TH St
London, KY 40741-2112
Phone
(606) 864-4040
Fax
(606) 878-3500
NPI assigned
Sep 29, 2006
Last updated
May 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA565 KY Primary

Addresses

Primary practice location

1210 W 5TH St
London, KY 40741-2112

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7840

Other identifiers 1

IdentifierTypeStateIssuer
95003034MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000816 KY Practitioner - Physician Assistant 2264403567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-6000

1025 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-2370

1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429

2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA565KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Physician Assistant CurrentSince Jan 1, 2014 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Pyma Medical, PLLC Past Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

470 Linden Ave
Ste 1
Harrodsburg, KY 40330
Phone (859) 733-4880

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1025 Saint Joseph Ln
London, KY 40741
Phone (606) 330-2370

1210 W 5th St
London, KY 40741
Phone (606) 864-4030

148 London Mountain View Dr
Ste 4
London, KY 40741
Phone (606) 878-1181

310 E 9th St
London, KY 40741
Phone (606) 878-2227

740 E Laurel Rd
London, KY 40741
Phone (606) 877-3931

100 E Liberty St
Ste 800
Louisville, KY 40202
Phone (502) 540-3339

Interoperability endpoints

  • Direct secure messaging: jennifersizemore@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: jsizemore275266@direct.stlukeshealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1083706774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7840",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 5TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412112",
            "telephone_number": "606-864-4040",
            "fax_number": "606-878-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95003034",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.