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LEE PACE FNP, OTR
NPI 1073811717
Nurse Practitioner - Family in Hattiesburg, MS

Active since March 04, 2011PECOS Enrolled
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401(601) 288-7000 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lee Pace Fnp, Otr NPPES

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

LEE PACE FNP, OTR (NPI 1073811717) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (R879013) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073811717
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLEE PACECredential: FNP, OTR
Location Address6051 U S HIGHWAY 49Hattiesburg, MS 39401-7201
Mailing Address2910 Magnolia PlHattiesburg, MS 39402-2428 · (662) 610-0847 · Fax (601) 469-9965
Phone(601) 288-7000
Sole ProprietorNo
Enumeration DateMarch 4, 2011
Last NPPES UpdateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1073811717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · R879013✔ Licensed in AZ · AP5005✔ Licensed in NM · CNP-02475
Also ListedOccupational TherapistTaxonomy 225X00000X · License OT1385 (MS)
6051 U S HIGHWAY 49, Hattiesburg, MS 39401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1709 Hardy StHattiesburg, MS 39401-3666 · Phone (601) 466-9495 · Fax (601) 469-9965
Location 2530B Harkle Rd Ste 100Santa Fe, NM 87505-4739 · Phone (601) 466-9495 · Fax (601) 469-9965

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee Pace Fnp, Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

6

Medicare enrollment records show Lee Pace reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Relias Emergency Medicine Specialists Of Hattiesburg LLC
Same address
Emergency Medicine
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
  • Reassigned Medicare billing, Mississippi enrollment
  • 110 clinicians in this Medicare group
NPI 1609409440 (662) 432-4106
Fgh Trauma Surgery Clinic
Same address
Surgery
6051 HIGHWAY 49
Hattiesburg, MS 39401
  • Reassigned Medicare billing, Mississippi enrollment
  • 18 clinicians in this Medicare group
NPI 1427090398 (601) 288-2690
Pioneer Health Care , LLC
27 mi
General Practice
4297 HWY 42
Bassfield, MS 39421
  • Reassigned Medicare billing, Mississippi enrollment
  • 40 clinicians in this Medicare group
NPI 1336384742 (601) 550-3153
Orange Grove Urgent Care
62 mi
Urgent Care
10556 HIGHWAY 49
Gulfport, MS 39503
  • Reassigned Medicare billing, Mississippi enrollment
  • 65 clinicians in this Medicare group
NPI 1831330661 (228) 539-2399
Hancock Emergency Group LLC
69 mi
Emergency Medicine
149 DRINKWATER RD
Bay St Louis, MS 39520
  • Reassigned Medicare billing, Mississippi enrollment
  • 87 clinicians in this Medicare group
NPI 1295142396 (800) 893-9698
Keystone Medical Services Of Ms, Inc
74 mi
Emergency Medicine
233 MAGNOLIA ST
Hazlehurst, MS 39083
  • Reassigned Medicare billing, Mississippi enrollment
  • 159 clinicians in this Medicare group
NPI 1174691059 (601) 894-4541

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 39401 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 20

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

RAMATA SAKHANOKHO PHARM.D.
Pharmacist
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-4213
KRISTI HILL NESLER PHARM.D.
Pharmacist
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-4160
JUANICE GANDY GLAZE
Pharmacist
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-4276
MELISSA RUTH TOLAR FNP
Nurse Practitioner (Family)
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-1212
TIFFANY YVETTE BOONE NP
Nurse Practitioner
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 264-6000
FGH PHYSICIAN BILLING
Internal Medicine (Cardiovascular Disease)
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-7000
JACKLYN CUMMINS DO
Student in an Organized Health Care Education/Training Program
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-7000
EMILIE MCKENZIE STANSELL PA-C
Physician Assistant
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401
Forrest County (601) 288-2690

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 Lee Pace's NPI number?

The NPI number for Lee Pace is 1073811717. It was assigned to this individual provider in the NPPES registry on March 4, 2011.

Where is Lee Pace located?

Lee Pace practices at 6051 U S Highway 49, Hattiesburg, MS 39401. The listed phone number is (601) 288-7000.

What is Lee Pace's specialty?

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

Is Lee Pace enrolled in Medicare?

Yes. Lee Pace is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lee Pace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Pace reassigns Medicare benefits to 6 organizations: Relias Emergency Medicine Specialists Of Hattiesburg LLC (Hattiesburg, MS), Fgh Trauma Surgery Clinic (Hattiesburg, MS), Pioneer Health Care , LLC (Bassfield, MS), Orange Grove Urgent Care (Gulfport, MS), Hancock Emergency Group LLC (Bay St Louis, MS) and 1 more organization, listed in the Medicare section above. 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 Lee Pace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lee Pace was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.