LORI L PACE CRNP NPI 1417053190

Nurse Practitioner (Obstetrics & Gynecology) in Sheffield, AL

NPI 1417053190 Individual Female Years of Experience 22 Nurse Practitioner Obstetrics & Gynecology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About LORI PACE

Lori Pace is a provider established in Sheffield, Alabama and her medical specialization is nurse practitioner (obstetrics & gynecology) with more than 22 years of experience. The NPI number of Lori Pace is 1417053190 and was assigned on September 2006. The practitioner's primary taxonomy code is 363LX0001X with license number 1-075990 (AL). The provider is registered as an individual and her NPI record was last updated 14 years ago.

A nurse practitioner (NP) like Lori L Pace Crnp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Lori Pace is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Lori Pace is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with North Alabama Medical Center and Helen Keller Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: breast cancer screening, cervical cancer screening, chronic care and preventative care management for empaneled patients, e-prescribing, health information exchange exclusion, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis, use of decision support and standardized treatment protocols and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1417053190

Provider Name LORI L PACE CRNP
Provider Location Address1100 S JACKSON HWY SUITE 259 SHEFFIELD, AL 35660
Provider Mailing Address1100 S JACKSON HWY SUITE 259 SHEFFIELD, AL 35660
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-16-2006
Last Update Date05-27-2008


Primary Taxonomy

Taxonomy Code363LX0001X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationObstetrics & Gynecology
License No.1-075990
License StateAL

Business Address

LORI L PACE CRNP
1100 S JACKSON HWY
SUITE 259
SHEFFIELD, AL
ZIP 35660
Phone: (256) 766-2600
Fax: (256) 381-1251

Get Directions


Mailing Address

LORI L PACE CRNP
1100 S JACKSON HWY
SUITE 259
SHEFFIELD, AL
ZIP 35660
Phone: (256) 766-5762
Fax: (256) 381-1251



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5698742617
PECOS Enrollment IDI20040910000391
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Breast Cancer Screening 95% 167
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Cervical Cancer Screening 99% 793
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV) co-testing performed every 5 years
e-Prescribing 98% 2343
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation 100% 313
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 5% 1408
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 28% 1006
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89% 822
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99% 822
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 1% 80
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 81% 1408
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 45% 1408
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
View, Download, or Transmit (VDT) 31% 1408
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lori Pace is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTH ALABAMA MEDICAL CENTER1701 VETERANS DRIVE
FLORENCE, AL 35630
(256) 768-8400Acute Care Hospitals10006
HELEN KELLER HOSPITAL1300 SOUTH MONTGOMERY AVENUE
SHEFFIELD, AL 35660
(256) 386-4556Acute Care Hospitals10019

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
Q22536MEDICARE UPIN (02)
051559119OTHER (01)AL
510 05022OTHER (01)AL
891013940MEDICAID (05)AL

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083612311MR. JUSTIN KEITH COAN CRNP
Individual
Nurse Practitioner (Family)1100 S JACKSON HWY SUITE 150
SHEFFIELD, AL 35660
(256) 386-4680
1386644706 RICHARD B. DEAL M.D.
Individual
Internal Medicine1100 S JACKSON HWY SUITE 250
SHEFFIELD, AL 35660
(256) 386-4012
1437244290 JOSEPH WHEELER FLIPPEN III MD
Individual
Obstetrics & Gynecology (Gynecology)1100 S JACKSON HWY SUITE 259
SHEFFIELD, AL 35660
(256) 718-5900
1306914544F.C. GAPULTOS, JR., M.D.
Organization
Specialist1100 S JACKSON HWY SUITE 200
SHEFFIELD, AL 35660
(256) 386-4488
1245378645ALDRIDGE & KEITH, P.C.
Organization
Obstetrics & Gynecology1100 S JACKSON HWY SUITE 259
SHEFFIELD, AL 35660
(256) 766-5762
1265622708JOSEPH R. CUCCIA MD, PC
Organization
Psychiatry & Neurology (Neurology)1100 S JACKSON HWY SUITE 101
SHEFFIELD, AL 35660
(256) 381-5955
1205124120NORTH ALABAMA PHYSICIANS SERVICE, LLC
Organization
Internal Medicine1100 S JACKSON HWY SUITE 150
SHEFFIELD, AL 35660
(256) 386-4680
1275817694STEPHEN KEITH MD
Organization
Obstetrics & Gynecology1100 S JACKSON HWY SUITE 259
SHEFFIELD, AL 35660
(256) 766-2600
1467432377 JOSEPH R. CUCCIA M.D.
Individual
Psychiatry & Neurology (Neurology)1100 S JACKSON HWY SUITE 101
SHEFFIELD, AL 35660
(256) 381-5955
1245464114 PHILLIP JORDAN DEAN M.D.
Individual
Internal Medicine (Cardiovascular Disease)1100 S JACKSON HWY SUITE 104
SHEFFIELD, AL 35660
(256) 381-8811
1942305073LORI GLEDHILL M.D., P.C.
Organization
Family Medicine1100 S JACKSON HWY SUITE 201
SHEFFIELD, AL 35660
(256) 383-1027
1215092796DAS S. KANURU, M. D.
Organization
Specialist1100 S JACKSON HWY SUITE 100
SHEFFIELD, AL 35660
(256) 386-4300

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.