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

Active since September 19, 2022PECOS Enrolled
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: October 18, 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
Phone(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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keeanndase Pace Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Keeanndase Pace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Health Group
12 mi
Psychiatry
3345 HIGHWAY 5 N STE 200
Bryant, AR 72019
  • Reassigned Medicare billing, Arkansas enrollment
  • 46 clinicians in this Medicare group
NPI 1871959874 (501) 202-7587
Supportive Psych Care Of Arkansas PA
160 mi
Psychiatry
811 W ELGIN ST
Siloam Springs, AR 72761
  • Reassigned Medicare billing, Arkansas enrollment
  • 78 clinicians in this Medicare group
NPI 1437887437 (718) 298-2753

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organizations bill Medicare for Keeanndase Pace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keeanndase Pace reassigns Medicare benefits to 2 organizations: Arkansas Health Group (Bryant, AR) and Supportive Psych Care Of Arkansas PA (Siloam Springs, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keeanndase Pace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keeanndase Pace accept?

Health plans from Health Advantage and Octave 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 19 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.