KARLA IRENE SIZEMORE
NPI 1659809473
Nurse Practitioner - Family in Manchester, KY

Active since May 24, 2017PECOS EnrolledAccepts Medicare Assignment
56 MARIE LANGDON DR, MANCHESTER, KY 40962(606) 599-4080(606) 598-1688 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2020, May 24, 2017 (2 updates tracked since 2017).

About Karla Irene Sizemore NPPES

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

KARLA IRENE SIZEMORE (NPI 1659809473) is an individual family provider in Manchester, Kentucky, licensed in Kentucky (3011339) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Manchester Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1659809473
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARLA IRENE SIZEMORE
Location Address56 MARIE LANGDON DRManchester, KY 40962-6329
Mailing Address509 Memorial Dr Ste 2Manchester, KY 40962-6196 · (606) 598-5107 · Fax (606) 598-0983
Fax(606) 598-1688
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 24, 2017
Last NPPES UpdateFebruary 27, 20202 updates tracked since enumeration
NPI 1659809473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3011339
56 MARIE LANGDON DR, Manchester, KY 40962

Secondary Practice Locations 3

Location 1210 Marie Langdon DrManchester, KY 40962-6388 · Phone (606) 598-5104 · Fax (606) 598-0983
Location 21380 Highway 192 ELondon, KY 40741-3123 · Phone (606) 330-0050
Location 3140 Newcomb AveMount Vernon, KY 40456-2725 · Phone (606) 256-4148

Other Identifiers 2

Medicaid7100470380KY
Other14000573Caqh

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

Karla Irene Sizemore 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 ID3173959558
PECOS Enrollment IDI20200203001449
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Manchester Memorial Hospital

Acute Care Hospitals · Manchester, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number180043
Location210 Marie Langdon DriveManchester, KY 40962 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40962 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers43 claims43 services$104.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Psychologist
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Urology
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Peer Specialist
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Peer Specialist
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Nurse Practitioner (Family)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Nurse Practitioner (Family)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Clinic/Center (Rural Health)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Social Worker (Clinical)
56 MARIE LANGDON DR
MANCHESTER, KY 40962

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 Karla Sizemore's NPI number?

The NPI number for Karla Sizemore is 1659809473. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Where is Karla Sizemore located?

Karla Sizemore practices at 56 Marie Langdon Dr, Manchester, KY 40962. The listed phone number is (606) 599-4080.

What is Karla Sizemore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karla Sizemore enrolled in Medicare?

Yes. Karla 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.

Is Karla Sizemore affiliated with any hospitals?

According to CMS data, Karla Sizemore is affiliated with Manchester Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karla Sizemore was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.