KEEANNDASE PACE APRN
NPI 1790408482
Nurse Practitioner - Psychiatric/Mental Health in Alexander, AR

Active since September 19, 2022PECOS EnrolledAccepts Medicare Assignment
15604 ALEXANDER RD UNIT 35, ALEXANDER, AR 72002(501) 351-8753 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2025, Feb 13, 2025, Sep 21, 2022 (3 updates tracked since 2022).

About Keeanndase Pace Aprn NPPES

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

KEEANNDASE PACE APRN (NPI 1790408482) is an individual psychiatric/mental health provider in Alexander, Arkansas, licensed in Arkansas (221787) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790408482
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKEEANNDASE PACECredential: APRN
Location Address15604 ALEXANDER RD UNIT 35Alexander, AR 72002-3002
Mailing Address15604 Alexander Rd Unit 35Alexander, AR 72002-3002 · (501) 351-8753
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 19, 2022
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1790408482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AR · 221787
15604 ALEXANDER RD UNIT 35, Alexander, AR 72002

Secondary Practice Locations 2

Location 110025 W Markham StLittle Rock, AR 72205-1407 · Phone (501) 663-5473
Location 21615 Martin Luther King BlvdMalvern, AR 72104-2233 · Phone (501) 332-5236

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 and accepts Medicare assignment

Keeanndase Pace Aprn 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 ID4385000819
PECOS Enrollment IDI20230525000834
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
927 services202 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
257 services143 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
55 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72002 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Keeanndase Pace's NPI number?

The NPI number for Keeanndase Pace is 1790408482. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Keeanndase Pace located?

Keeanndase Pace practices at 15604 Alexander Rd Unit 35, Alexander, AR 72002. The listed phone number is (501) 351-8753.

What is Keeanndase Pace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Keeanndase Pace enrolled in Medicare?

Yes. Keeanndase Pace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keeanndase Pace accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Keeanndase 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 Keeanndase Pace was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.