Active NPI
Michael Sizemore, RN, PMHNP, BSN, MSN
- Psychiatric/Mental Health Nurse Practitioner
- Richmond, IN
National Provider Identifier
1184335762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71013586A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71013586A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Center, Inc. | Current | Accepting new patients | |
| Neighborhood Health Center | Current | 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
- msizemore172103@reidhealth.direct-ci.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Richmond, IN
- NPI 1679086888
-
- Federally Qualified Health Center (FQHC)
- Connersville, IN
- NPI 1538894514
-
- Federally Qualified Health Center (FQHC)
- Liberty, IN
- NPI 1578116729
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.