Keeanndase Pace, APRN - Medicare Nurse Practitioner in Alexander, AR

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Keeanndase Pace, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Alexander, Arkansas. Her current practice location is 15604 Alexander Rd Unit 35, Alexander, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 351-8753.

Keeanndase Pace is licensed to practice in Arkansas (license number 221787) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790408482.

Contact Information

Keeanndase Pace, APRN
15604 Alexander Rd Unit 35,
Alexander, AR 72002-3002
(501) 351-8753
Not Available

Map and Direction




Provider's Profile

Full NameKeeanndase Pace
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location15604 Alexander Rd Unit 35, Alexander, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790408482
  • Provider Enumeration Date: 09/19/2022
  • Last Update Date: 03/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4385000819
  • Enrollment ID: I20230525000834

Medical Identifiers

Medical identifiers for Keeanndase Pace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790408482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 221787 (Arkansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keeanndase Pace allows following entities to bill medicare on her behalf.
Entity NameOuachita Regional Counseling & Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821087123
PECOS PAC ID: 7416853445
Enrollment ID: O20031210000795
Entity NameArkansas Health Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871959874
PECOS PAC ID: 7911802079
Enrollment ID: O20141029001863
Entity NameSupportive Psych Care Of Arkansas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437887437
PECOS PAC ID: 8820474661
Enrollment ID: O20221003001887

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keeanndase Pace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keeanndase Pace, APRN
15604 Alexander Rd Unit 35,
Alexander, AR 72002-3002

Ph: (501) 351-8753		Keeanndase Pace, APRN
15604 Alexander Rd Unit 35,
Alexander, AR 72002-3002

Ph: (501) 351-8753

Reviews and Comments


Nurse Practitioner Nurses in Alexander, AR

Mary Ombatsa Banks, PMHMP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 13008 Avilla Hills Cv, Alexander, AR 72002
Phone: 501-353-7110    
Romonda Tousant, APRN
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Practice Location: 13823 Harold Dr, Alexander, AR 72002
Phone: 501-838-6482    
Jennifer Lynne Carter, APRN
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Medicare: Not Enrolled in Medicare
Practice Location: 6905 Grace Village Dr, Alexander, AR 72002
Phone: 501-628-8623    
T'shara E Harper, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 220 Centerstone, Alexander, AR 72002
Phone: 870-413-1506    
Misty Leigh Hartwick,
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Medicare: Accepting Medicare Assignments
Practice Location: 2804 Leslie Ln, Alexander, AR 72002
Phone: 501-772-0439    
Lonnell O Seamster Sr., NP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 501 Woody Drive, Alexander, AR 72022
Phone: 501-682-9800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.