TROY EDWARD BLACK PACE PA
NPI 1639722887
Physician Assistant - Medical in The Villages, FL

Q: What is Troy Black Pace's NPI number?

The NPI number for Troy Black Pace is 1639722887. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Q: What is Troy Black Pace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Troy Black Pace was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 17, 2019PECOS EnrolledAccepts Medicare Assignment

2910 BROWNWOOD BLVD, THE VILLAGES, FL 32163(352) 674-1790(352) 674-8990 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Mar 12, 2021, Oct 25, 2019 and 1 more (4 updates tracked since 2019).

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About Troy Edward Black Pace Pa NPPES

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

TROY EDWARD BLACK PACE PA (NPI 1639722887) is an individual medical provider in The Villages, Florida, licensed in Florida (PA9112734) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639722887

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameTROY EDWARD BLACK PACECredential: PA

Location Address2910 BROWNWOOD BLVDThe Villages, FL 32163-2032

Mailing Address1020 Lake Sumter LndgThe Villages, FL 32162-2699 · (352) 674-8905 · Fax (352) 674-8919

Phone(352) 674-1790

Fax(352) 674-8990

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 17, 2019

Last NPPES UpdateAugust 14, 20254 updates tracked since enumeration

NPPES CertifiedAugust 14, 2025

✔ NPI 1639722887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9112734

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9112734 (FL)

2910 BROWNWOOD BLVD, The Villages, FL 32163

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Troy Edward Black Pace Pa 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 ID3678905015

PECOS Enrollment IDI20191122002347

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.

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.

KELLY L DEBOER M.D.

Family Medicine