Individual provider Active NPI

Betty Sizemore, APRN

  • Family Nurse Practitioner
  • Manchester, KY
National Provider Identifier
1215333133
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009069 Issued in KY
Practice address
509 Memorial Drive
Suite 2
Manchester, KY 40962-6196
Phone
(606) 598-5104
Fax
(606) 598-0983
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009069 KY Primary
Nurse Practitioner 363L00000X 3009069 KY

Addresses

Primary practice location

509 Memorial Drive
Suite 2
Manchester, KY 40962-6196

Mailing address

509 Memorial Dr
Suite 2
Manchester, KY 40962-6196
Phone (606) 598-5104

Other identifiers 1

IdentifierTypeStateIssuer
363L00000XOtherTAXONOMY

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
I20141222001147 KY Practitioner - Nurse Practitioner 6800119900 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians
Memorial Hospital, Inc.Group PAC ID 4486616141, shared by 9 NPIs, 60 clinicians

Practice addresses (Care Compare)

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

53 Queendale Ctr
Suite 2
Beverly, KY 40913-8621
Phone (606) 598-5135

56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3009069KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital, Inc. CurrentSince Nov 13, 2014 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince May 25, 2019 Accepting new patients
Memorial Hospital, Inc. Family Current Accepting new patients
Memorial Hospital Inc. Family CurrentSince Nov 13, 2014 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Memorial Hospital, Inc. CurrentSince Oct 21, 2021 Accepting new patients
Memorial Hospital, Inc. CurrentSince Oct 21, 2021 Accepting new patients
Concord Medical Group of Kentucky PLLC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients

Locations

53 Queendale Ctr
Ste 2
Beverly, KY 40913
Phone (606) 598-5135

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

509 Memorial Dr
Ste 2
Manchester, KY 40962
Phone (606) 598-4384

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

53 Queendale Ctr
Red Bird, KY 40913
Phone (606) 598-5135

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

Interoperability endpoints

  • Direct secure messaging: bsizemore659498@adventhealth.direct-ci.com

Organizations & group practices 8

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.

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": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1215333133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DR",
            "address_2": "SUITE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626196",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MEMORIAL DRIVE",
            "address_2": "SUITE 2",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626196",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "BETTY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009069",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363L00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

Verify at the official NPI Registry.