Individual provider Active NPI

Corey Sizelove, NP

  • Family Nurse Practitioner
  • Anderson, IN
National Provider Identifier
1447676994
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28184181A Issued in IN
Practice address
1515 N Madison Ave
ER
Anderson, IN 46011-3453
Phone
(765) 298-5141
NPI assigned
Mar 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28184181A IN Primary

Addresses

Primary practice location

1515 N Madison Ave
ER
Anderson, IN 46011-3453

Mailing address

12953 Publishers Dr
Suite 200
Fishers, IN 46038-8800
Phone (765) 620-9039

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
I20140408000679 IN Practitioner - Nurse Practitioner 0840422739 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28184181AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epcha, PC CurrentSince Mar 24, 2014 Accepting new patients

Locations

1515 N Madison Ave
#O
Anderson, IN 46011
Phone (765) 298-5141

1515 N Madison Ave
Anderson, IN 46011
Phone (317) 870-0488

Interoperability endpoints

  • Direct secure messaging: csizelove53569@ecommunitydirect.com

Organizations & group practices 1

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": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1447676994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12953 PUBLISHERS DR",
            "address_2": "SUITE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460388800",
            "telephone_number": "765-620-9039",
            "fax_number": "317-577-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N MADISON AVE",
            "address_2": "ER",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113453",
            "telephone_number": "765-298-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZELOVE",
        "first_name": "COREY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28184181A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.