Individual provider Active NPI

Mildred P Sizemore, APRN, FNP

  • Family Nurse Practitioner
  • Salyersville, KY
National Provider Identifier
1679567945
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3000763 Issued in KY
Practice address
940 Parkway Dr
Salyersville, KY 41465-9251
Phone
(606) 349-5126
NPI assigned
Sep 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 3000763 KY Primary

Addresses

Primary practice location

940 Parkway Dr
Salyersville, KY 41465-9251

Mailing address

1709 Ky Route 321 Ste 3
Prestonsburg, KY 41653-9097
Phone (606) 886-8546

Other practice location 1

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

Other practice location 2

835 Parkway Dr
Hope Family Medical Center
Salyersville, KY 41465-9250
Phone (606) 349-5126

Other identifiers 1

IdentifierTypeStateIssuer
7800508900MedicaidKY

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
I20040107000850 KY Practitioner - Nurse Practitioner 8628977709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sandy Health Care, IncGroup PAC ID 1951211218, 51 clinicians

Practice addresses (Care Compare)

940 Pkwy Dr
Salyersville, KY 41465-9251
Phone (606) 349-5126

Hospital & facility affiliations

  • Highlands Arh Regional Medical Center Hospital, Prestonsburg, KY, CCN 180005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sandy Health Care, Inc Current Accepting new patients
Big Sandy Health Care Inc CurrentSince Nov 10, 1998 Accepting new patients
Big Sandy Health Care Inc CurrentSince Nov 10, 1998 Accepting new patients
Magoffin County Health Department Past Accepting new patients

Locations

23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135

50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172

1 Bert Combs Dr
Prestonsburg, KY 41653
Phone (606) 886-9355

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

5230 Ky Route 321
Ste 2
Prestonsburg, KY 41653
Phone (606) 886-6565

452 Tom Frazier Way
Salyersville, KY 41465
Phone (606) 349-5126

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Interoperability endpoints

  • Direct secure messaging: sizemore.mildred.001.0170011@bshc.meditab.direct-ci.com

Organizations & group practices 4

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 2

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1679567945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321 STE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 PARKWAY DR",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414659251",
            "telephone_number": "606-349-5126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Highway 645",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "41224",
            "country_code": "US",
            "telephone_number": "606-298-3412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Parkway Dr",
            "address_2": "Hope Family Medical Center",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414659250",
            "country_code": "US",
            "telephone_number": "606-349-5126",
            "fax_number": "606-349-5123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "MILDRED",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3000763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7800508900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salyersville, KY

Sources for this page

Verify at the official NPI Registry.