Individual provider Active NPI

Tritresher Sizer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1700390184
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
902427 Issued in MS
Practice address
323 Kings Ridge Cir
Brandon, MS 39047-6031
Phone
(601) 937-3526
NPI assigned
Nov 21, 2017
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 902427 MS Primary

Addresses

Primary practice location

323 Kings Ridge Cir
Brandon, MS 39047-6031

Mailing address

3502 W. Northside Dr
Attn: Credentialing
Jackson, MS 39213
Phone (601) 362-5321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20190220001501 MS Practitioner - Nurse Practitioner 7911245733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Mississippi Civic Improvement Association, IncGroup PAC ID 4183533235, shared by 26 NPIs, 48 clinicians

Practice addresses (Care Compare)

129 White Oak St
Utica, MS 39175-8803
Phone (601) 885-6021

3502 W Northside Dr
Jackson, MS 39213-4454
Phone (601) 362-5321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Mississippi Civic Improvement Association, Inc Current Accepting new patients
Central Mississippi Civic Improvement Association, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Mental Health Specialty Group PA CurrentSince Oct 1, 2025 Accepting new patients
Central Mississippi Civic Improvement Association, Inc. CurrentSince Nov 1, 2018 Accepting new patients

Locations

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625

129 White Oak St
Utica, MS 39175
Phone (601) 885-6021

Interoperability endpoints

  • Direct secure messaging: tritresher.sizer@jhchc.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1700390184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 W. NORTHSIDE DR",
            "address_2": "ATTN: CREDENTIALING",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-362-5321",
            "fax_number": "601-364-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 KINGS RIDGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476031",
            "telephone_number": "601-937-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZER",
        "first_name": "TRITRESHER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "902427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.