NPIMap

Individual provider Active NPI

Annica Yvette Sizemore, FNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1609386267
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4010291 Issued in KY
Practice address
3165 S 2ND St
Louisville, KY 40208-1446
Phone
(502) 689-0838
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 226525 TN
Registered Nurse 163W00000X 1145408 KY
Family Nurse Practitioner 363LF0000X 29300 TN
Family Nurse Practitioner 363LF0000X 4010291 KY Primary

Addresses

Primary practice location

3165 S 2ND St
Louisville, KY 40208-1446

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Other practice location 1

1763 Madison St
Clarksville, TN 37043-4990
Phone (931) 278-8000

Other names 1

  • Annica Y Sizemore Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220415000589 TN Practitioner - Nurse Practitioner 3971999129 Reassigns benefits to 1 organization
I20240313001713 KY Practitioner - Nurse Practitioner 3971999129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.42 of 100Reported as group
Quality
60.87
Improvement activities
40
Cost
79.8

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1145408KYMDRegistered Nurse
226525TNMDRegistered Nurse
4010291KYMDFamily Nurse Practitioner
29300TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Tennessee, PC Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Feb 27, 2024 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Mar 14, 2022 Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

3165 S 2nd St
Louisville, KY 40208
Phone (502) 368-6153

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

850 S 28th St
Ste 102
Louisville, KY 40211
Phone (502) 629-5400

1763 Madison St
Clarksville, TN 37043
Phone (931) 278-8000

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

Interoperability endpoints

  • Direct secure messaging: asizemore105826@direct.nortonhealthcare.org

Organizations & group practices 6

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1609386267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081446",
            "telephone_number": "502-689-0838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1763 Madison St",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370434990",
            "country_code": "US",
            "telephone_number": "931-278-8000",
            "fax_number": "931-278-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "ANNICA",
        "middle_name": "YVETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "226525",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1145408",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4010291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNICA",
            "last_name": "SIZEMORE",
            "middle_name": "Y",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.