LEE PACE FNP, OTR
NPI 1073811717
Nurse Practitioner - Family in Hattiesburg, MS
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
Specialties & Licenses 2
Secondary Practice Locations 2
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 (PECOS)
Lee Pace Fnp, Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
HATTIESBURG, MS 39401
HATTIESBURG, MS 39401
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.
What insurance does Lee Pace accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Lee Pace 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 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.
# Lee Pace, FNP, OTR · NPI 1073811717
Family physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since March 4, 2011.
## Identity
- **NPI:** 1073811717 (Entity type: Individual)
- **Enumerated:** March 4, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R879013 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 6051 U S HIGHWAY 49, Hattiesburg, MS 39401-7201
- **Phone:** (601) 288-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1073811717) · Data from the CMS NPPES public registry.