Individual provider Active NPI

Michael Sizemore, RN, PMHNP, BSN, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1184335762
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71013586A Issued in IN
Practice address
101 S 10TH St
Richmond, IN 47374-5547
Phone
(659) 654-2997
NPI assigned
Dec 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71013586A IN Primary

Addresses

Primary practice location

101 S 10TH St
Richmond, IN 47374-5547

Mailing address

101 S 10TH St
Richmond, IN 47374-5547
Phone (765) 965-4299

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msizemore172103@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230228000595 IN Practitioner - Nurse Practitioner 3870966559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Center, Inc.Group PAC ID 6608139621, 11 clinicians

Practice addresses (Care Compare)

101 S 10TH St
Richmond, IN 47374-5547
Phone (765) 965-4299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71013586AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center, Inc. CurrentSince Mar 6, 2023 Accepting new patients
Neighborhood Health Center CurrentSince Mar 6, 2023 Accepting new patients
Neighborhood Health Center, Inc. Past Accepting new patients

Locations

950 N Market St
Liberty, IN 47353
Phone (765) 458-5191

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

101 S 10th St
Richmond, IN 47374
Phone (765) 965-4299

Interoperability endpoints

  • Direct secure messaging: msizemore172103@reidhealth.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/21036/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1184335762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 10TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745547",
            "telephone_number": "765-965-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S 10TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745547",
            "telephone_number": "659-654-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RN, PMHNP, BSN, MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71013586A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msizemore172103@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "101 S 10th St",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473745547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.