Individual provider Active NPI

Tracey Renee Sizemore, APRN

  • Family Nurse Practitioner
  • Stanton, KY
National Provider Identifier
1962911248
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011728 Issued in KY
Practice address
68 E Elkins St
Stanton, KY 40380-2311
Phone
(606) 663-2511
Fax
(859) 498-8160
NPI assigned
Sep 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 3011728 KY Primary

Addresses

Primary practice location

68 E Elkins St
Stanton, KY 40380-2311

Mailing address

236 W Main St
Mount Sterling, KY 40353-1348
Phone (859) 404-7686

Other practice location 1

130 Newtowne Sq
Morehead, KY 40351-2406
Phone (606) 740-0986

Other practice location 2

401 Commerce Cir
MT Sterling, KY 40353-7815
Phone (859) 498-5243

Other identifiers 1

IdentifierTypeStateIssuer
7100488090MedicaidKY

Other names 1

  • Tracey Renee Hurley Former name

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
I20210127003575 KY Practitioner - Nurse Practitioner 0941614242 Reassigns benefits to 1 organization

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
Sterling Health Solutions IncGroup PAC ID 9436301686, 59 clinicians

Practice addresses (Care Compare)

68 E Elkins St
Stanton, KY 40380-2311
Phone (606) 663-2511

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions Inc CurrentSince May 15, 2021 Accepting new patients
Sterling Health Solutions, Inc Family CurrentSince May 15, 2021 Accepting new patients

Locations

209 N Maysville St
Ste 200
Mt Sterling, KY 40353
Phone (859) 404-4686

4755 E Highway 60
Owingsville, KY 40360
Phone (606) 674-2101

645 Chenault Dr
Owingsville, KY 40360
Phone (606) 674-6325

44 Water St
Owingsville, KY 40360
Phone (606) 674-9776

2228 Martin Luther King Jr Blvd
Paris, KY 40361
Phone (859) 982-0993

691 Breckenridge St
Stanton, KY 40380
Phone (606) 663-3300

68 E Elkins St
Stanton, KY 40380
Phone (606) 663-2511

Interoperability endpoints

  • Direct secure messaging: tracy.sizemore.1@25737.direct.athenahealth.com

Organizations & group practices 2

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 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": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962911248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531348",
            "telephone_number": "859-404-7686",
            "fax_number": "859-274-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 E ELKINS ST",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802311",
            "telephone_number": "606-663-2511",
            "fax_number": "859-498-8160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Newtowne Sq",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403512406",
            "country_code": "US",
            "telephone_number": "606-740-0986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Commerce Cir",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "KY",
            "postal_code": "403537815",
            "country_code": "US",
            "telephone_number": "859-498-5243",
            "fax_number": "859-498-5396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "TRACEY",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100488090",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "HURLEY",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stanton, KY

Sources for this page

Verify at the official NPI Registry.