Individual provider Active NPI

Edward Allen Sizemore, ARNP, NP-C

  • Family Nurse Practitioner
  • Winchester, KY
National Provider Identifier
1467788216
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006181 Issued in KY
Practice address
475 Shoppers Dr
Winchester, KY 40391-1380
Phone
(859) 744-5111
Fax
(859) 744-1177
NPI assigned
Oct 29, 2009
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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 3006181 KY Primary

Addresses

Primary practice location

475 Shoppers Dr
Winchester, KY 40391-1380

Mailing address

PO Box 936
London, KY 40743-0936

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
I20100119000466 KY Practitioner - Nurse Practitioner 0244372969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kentucky Mso LLCGroup PAC ID 0749450633, 53 clinicians
Appalachian Wellness LLCGroup PAC ID 9537429378, 4 clinicians

Practice addresses (Care Compare)

1002 Lexington Rd
Suite 25B
Georgetown, KY 40324-1463
Phone (502) 570-3727

592 Ky 15
Suite 5
Campton, KY 41301-9552
Phone (606) 668-7393

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mso LLC Family CurrentSince Dec 1, 2021 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Kentucky Mso LLC CurrentSince Dec 1, 2021 Accepting new patients
Appalachian Wellness, L.L.C. CurrentSince Mar 25, 2019 Accepting new patients
Appalachian Wellness Laboratory Services PastSince Oct 12, 2025 Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Saint Joseph Health System, Inc. Past Accepting new patients
Kentucky Mso LLC Past Accepting new patients

Locations

1002 Lexington Rd
Ste 25B
Georgetown, KY 40324
Phone (502) 735-4577

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1140 Lexington Rd
Ste 105
Georgetown, KY 40324
Phone (502) 868-5660

989 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (502) 570-3727

2570 Bypass Rd
Winchester, KY 40391
Phone (859) 744-0016

Interoperability endpoints

  • Direct secure messaging: edward.sizemore.1@19475.direct.athenahealth.com
  • Direct secure messaging: edwardsizemore@kysjhspe.allscriptsdirect.net

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, 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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1467788216",
    "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",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SHOPPERS DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911380",
            "telephone_number": "859-744-5111",
            "fax_number": "859-744-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "EDWARD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "ARNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.