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

Q: 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.

Q: What is Stephanie Sizemore's specialty?

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

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: October 25, 2026.

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

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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

Phone(615) 673-6737

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

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Other Names 1

Former Name (1)Stephanie Gwynn Schandera

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Stephanie Sizemore reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Mso LLC

4.1 mi

Family Medicine

3343 PEACHTREE RD NE, STE 145 PMB 3034
Atlanta, GA 30326

Reassigned Medicare billing, Georgia enrollment
131 clinicians in this Medicare group

NPI 1952196164 (212) 734-6621

Wellstar Medical Group, LLC

5.8 mi

Family Medicine

1010 JOHNSON FERRY RD
Marietta, GA 30068

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1053617621 (770) 973-7302

Hardy Renew Wellness,llc

13 mi

Internal Medicine

838 CANNON RUN SW
Marietta, GA 30064

Reassigned Medicare billing, Georgia enrollment
134 clinicians in this Medicare group

NPI 1952914368 (423) 443-9956

Personal Recovery Network LLC

28 mi

Psychiatry

250 CORPORATE CENTER CT
Stockbridge, GA 30281

Reassigned Medicare billing, Georgia enrollment
592 clinicians in this Medicare group

NPI 1881990869 (770) 389-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

80.38

Promoting Interoperability

100

Improvement Activities

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.

TRACY ANDREA CARSTARPHEN NP

Nurse Practitioner (Family)