BRIANA LYNN SIZEMORE APRN-CNP, PMHNP-BC
NPI 1689553224
Nurse Practitioner - Psychiatric/Mental Health in Madisonville, KY

Active since August 28, 2025PECOS EnrolledAccepts Medicare Assignment
9 E ARCH ST, MADISONVILLE, KY 42431(833) 510-4357(866) 460-2997 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Briana Lynn Sizemore Aprn-cnp, Pmhnp-bc NPPES

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

BRIANA LYNN SIZEMORE APRN-CNP, PMHNP-BC (NPI 1689553224) is an individual psychiatric/mental health provider in Madisonville, Kentucky, licensed in Kentucky (4045798) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689553224
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBRIANA LYNN SIZEMORECredential: APRN-CNP, PMHNP-BC
Location Address9 E ARCH STMadisonville, KY 42431-2063
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (833) 510-4357 · Fax (866) 460-2997
Fax(866) 460-2997
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 28, 2025
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1689553224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4045798
9 E ARCH ST, Madisonville, KY 42431

Accepted 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

Briana Lynn Sizemore Aprn-cnp, Pmhnp-bc 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 ID5395218861
PECOS Enrollment IDI20260625003162
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

2

Medicare enrollment records show Briana Sizemore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Assistant
1120 REUBEN ST
London, KY 40741
  • Reassigned Medicare billing, Kentucky enrollment
  • 21 clinicians in this Medicare group
Addiction Medicine
446 MORGAN ST
Cincinnati, OH 45206
  • Reassigned Medicare billing, Kentucky enrollment
  • 109 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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.

Other Providers at the Same Location NPPES 8

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

Counselor (Professional)
9 E ARCH ST
MADISONVILLE, KY 42431
Nurse Practitioner (Gerontology)
9 E ARCH ST
MADISONVILLE, KY 42431
Social Worker
9 E ARCH ST
MADISONVILLE, KY 42431
Counselor (Professional)
9 E ARCH ST
MADISONVILLE, KY 42431
Nurse Practitioner (Family)
9 E ARCH ST
MADISONVILLE, KY 42431
Internal Medicine (Addiction Medicine)
9 E ARCH ST
MADISONVILLE, KY 42431
Social Worker
9 E ARCH ST
MADISONVILLE, KY 42431
Counselor (Professional)
9 E ARCH ST
MADISONVILLE, KY 42431

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 Briana Sizemore's NPI number?

The NPI number for Briana Sizemore is 1689553224. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Briana Sizemore located?

Briana Sizemore practices at 9 E Arch St, Madisonville, KY 42431. The listed phone number is (833) 510-4357.

What is Briana Sizemore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Briana Sizemore enrolled in Medicare?

Yes. Briana 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.

Which organizations bill Medicare for Briana Sizemore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Briana Sizemore reassigns Medicare benefits to 2 organizations: Robert Hoskins, PLLC (London, KY) and Brightview, LLC (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Briana Sizemore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Briana Sizemore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Briana 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 Briana Sizemore was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.