Individual provider Active NPI

Rolanda T Pace, DNP, APRN,BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1386703171
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R865060 Issued in MS
Practice address
1818 College Drive
Meridian, MS 39307-5429
Phone
(601) 581-7600
Fax
(601) 483-5543
NPI assigned
Dec 7, 2006
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R865060 MS Primary

Addresses

Primary practice location

1818 College Drive
Meridian, MS 39307-5429

Mailing address

PO Box 4128
Meridian, MS 39304-4128
Phone (601) 581-7600

Other identifiers 1

IdentifierTypeStateIssuer
06701213MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070510000160 MS Practitioner - Nurse Practitioner 8527164326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Medicine Clinic, PAGroup PAC ID 5092889360, 9 clinicians

Practice addresses (Care Compare)

2208 Hwy 39 N
Meridian, MS 39301-2605
Phone (601) 482-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maxie Gordon MD & Associates, PLLC CurrentSince Aug 3, 2019 Accepting new patients
East Mississippi State Hospital CurrentSince Sep 20, 2006 Accepting new patients
Behavioral Medicine Clinic,PA CurrentSince Jun 1, 2020 Accepting new patients
NP Care Anywhere LLC CurrentSince May 7, 2026 Accepting new patients
East Mississippi State Hospital Current Accepting new patients

Locations

590 Springridge Rd
Clinton, MS 39056
Phone (601) 488-8101

1455 N Lakeland Dr
#T
Meridian, MS 39307
Phone (601) 581-7969

1818 College Dr
Meridian, MS 39307
Phone (601) 581-7600

4555 Highland Park Dr
Meridian, MS 39307
Phone (601) 482-6186

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1386703171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4128",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393044128",
            "telephone_number": "601-581-7600",
            "fax_number": "601-483-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 COLLEGE DRIVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075429",
            "telephone_number": "601-581-7600",
            "fax_number": "601-483-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "ROLANDA",
        "middle_name": "T",
        "credential": "DNP, APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R865060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06701213",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.