Individual provider Active NPI

Patrice Diane Pace, DO

  • Family Medicine Physician
  • Muskogee, OK
National Provider Identifier
1164561270
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4567 Issued in OK
Practice address
3300 Chandler Rd Ste 107
Muskogee, OK 74403-4909
Phone
(800) 993-8244
Fax
(404) 494-7537
NPI assigned
Feb 5, 2007
Last updated
Jun 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4567 OK Primary

Addresses

Primary practice location

3300 Chandler Rd Ste 107
Muskogee, OK 74403-4909

Mailing address

7912 E 31St CT
Ste 220
Tulsa, OK 74145-1315
Phone (918) 743-8200

Other identifiers 1

IdentifierTypeStateIssuer
207Q00000XOtherOKTAXONOMY CODE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000235 OK Practitioner - Family Practice 7517136344 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Hospital Medicine Physicians Group, LLCGroup PAC ID 7214327832, 132 clinicians

Practice addresses (Care Compare)

10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300

1120 S Utica Ave
Hillcrest Medical Center
Tulsa, OK 74104-4012
Phone (918) 579-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.31 of 100Reported as group
Improvement activities
20
Cost
82.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4567OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Resource Management, LLC Family Medicine CurrentSince Feb 17, 2016 Accepting new patients
Harvard Family Physicians P C Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Tulsa Hospital Medicine Physicians Group, LLC CurrentSince Jan 5, 2024 Accepting new patients
National Family Medical Associates, LLC Family Medicine Past Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

7912 E 31st Ct
Ste 200
Tulsa, OK 74145
Phone (918) 743-8200

7912 E 31st Ct
Ste 220
Tulsa, OK 74145
Phone (352) 572-5457

7912 E 31st Ct
Ste 300
Tulsa, OK 74145
Phone (918) 743-8200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6925/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ppace913864@ahs.direct-ci.com
  • Direct secure messaging: patrice.pace.1@23522.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1164561270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 E 31ST CT",
            "address_2": "STE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451315",
            "telephone_number": "918-743-8200",
            "fax_number": "918-743-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CHANDLER RD STE 107",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034909",
            "telephone_number": "800-993-8244",
            "fax_number": "404-494-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "PATRICE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207Q00000X",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.