STEPHANIE GWYNN SIZEMORE APRN
NPI 1467920355
Nurse Practitioner - Adult Health in Atlanta, GA

Active since November 08, 2018PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
5470 MERIDIAN MARKS RD, ATLANTA, GA 30342(615) 673-6737(800) 474-4039 Get Directions Write a Review

NPPES record last updated: December 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2018, Nov 8, 2018 (2 updates tracked since 2018).

About Stephanie Gwynn Sizemore Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE GWYNN SIZEMORE APRN (NPI 1467920355) is an individual adult health provider in Atlanta, Georgia, licensed in Georgia (RN230928) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467920355
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSTEPHANIE GWYNN SIZEMORECredential: APRN
Location Address5470 MERIDIAN MARKS RDAtlanta, GA 30342-1624
Mailing Address73 White Bridge Rd Ste 103-243Nashville, TN 37205-1444 · (615) 673-6737 · Fax (800) 474-4039
Fax(800) 474-4039
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 8, 2018
Last NPPES UpdateDecember 14, 20182 updates tracked since enumeration
NPI 1467920355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in GA · RN230928
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN230928 (GA)
5470 MERIDIAN MARKS RD, Atlanta, GA 30342

Other Names 1

Former Name (1)Stephanie Gwynn Schandera

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephanie Gwynn Sizemore Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395089981
PECOS Enrollment IDI20181210000329
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
531 services159 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
259 services119 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
36 services34 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
31 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
28 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5470 MERIDIAN MARKS RD
ATLANTA, GA 30342
Nurse Practitioner (Family)
5470 MERIDIAN MARKS RD
ATLANTA, GA 30342
Physical Therapy Assistant
5470 MERIDIAN MARKS RD
ATLANTA, GA 30342
Occupational Therapy Assistant
5470 MERIDIAN MARKS RD
ATLANTA, GA 30342
Occupational Therapist
5470 MERIDIAN MARKS RD
ATLANTA, GA 30342
Physical Therapy Assistant
5470 MERIDIAN MARKS RD
ATLANTA, GA 30342
Nurse Practitioner (Family)
5470 MERIDIAN MARKS RD
ATLANTA, GA 30342
Physical Therapy Assistant
5470 MERIDIAN MARKS RD
ATLANTA, GA 30342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Sizemore's NPI number?

The NPI number for Stephanie Sizemore is 1467920355. It was assigned to this individual provider in the NPPES registry on November 8, 2018. The provider is also known as Stephanie Gwynn Schandera.

Where is Stephanie Sizemore located?

Stephanie Sizemore practices at 5470 Meridian Marks Rd, Atlanta, GA 30342. The listed phone number is (615) 673-6737.

What is Stephanie Sizemore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stephanie Sizemore enrolled in Medicare?

Yes. Stephanie Sizemore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Sizemore accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Stephanie Sizemore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Sizemore was last updated on December 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.