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STACIE PACE AGACNP, AGPCNP
NPI 1528480035
Nurse Practitioner in Hattiesburg, MS

Active since January 17, 2014PECOS Enrolled
709 HARDY ST, HATTIESBURG, MS 39401(601) 466-9495(601) 469-9965 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2023, Oct 29, 2023, Jun 7, 2022 and 6 more (9 updates tracked since 2017).

About Stacie Pace Agacnp, Agpcnp NPPES

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

STACIE PACE AGACNP, AGPCNP (NPI 1528480035) is an individual nurse practitioner in Hattiesburg, Mississippi, licensed in Mississippi (879432) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528480035
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACIE PACECredential: AGACNP, AGPCNP
Location Address709 HARDY STHattiesburg, MS 39401-3666
Mailing Address2910 Magnolia PlHattiesburg, MS 39402-2428 · (601) 466-9495 · Fax (601) 466-9495
Phone(601) 466-9495
Fax(601) 469-9965
Sole ProprietorYes
Enumeration DateJanuary 17, 2014
Last NPPES UpdateNovember 7, 20239 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1528480035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MS · 879432✔ Licensed in CO · C-APN.0100762-C-NP✔ Licensed in AZ · RNP232597
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 879432 (MS)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 879432 (MS)
709 HARDY ST, Hattiesburg, MS 39401
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Other Names 1

Former Name (1)Stacie Park

Other Identifiers 1

Medicaid05656575MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacie Pace Agacnp, Agpcnp 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.

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

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

SPECTRUM THE OTHER CLINIC
Nurse Practitioner
709 HARDY ST
HATTIESBURG, MS 39401
Forrest County (601) 466-9495

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 Stacie Pace's NPI number?

The NPI number for Stacie Pace is 1528480035. It was assigned to this individual provider in the NPPES registry on January 17, 2014. The provider is also known as Stacie Park.

Where is Stacie Pace located?

Stacie Pace practices at 709 Hardy St, Hattiesburg, MS 39401. The listed phone number is (601) 466-9495.

What is Stacie Pace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacie Pace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacie Pace was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.