NPIMap

Individual provider Active NPI

Jesse William Pace, DO

  • Family Medicine Physician
  • Old Fort, NC
National Provider Identifier
1598027765
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2014-00846 Issued in NC
Practice address
32 E Main St
Old Fort, NC 28762-0017
Phone
(828) 668-6435
NPI assigned
Jun 13, 2012
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 2014-00846 NC Primary

Addresses

Primary practice location

32 E Main St
Old Fort, NC 28762-0017

Mailing address

32 E Main St
Old Fort, NC 28762-0017
Phone (828) 668-6435

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jesse.pace.1@23581.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817002327 NC Practitioner - Family Practice 9537318167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy Kentucky, LLCGroup PAC ID 3476818519, shared by 3 NPIs, 43 clinicians
Ware Family Medicine PLLCGroup PAC ID 2567873177, 2 clinicians

Practice addresses (Care Compare)

2835 S Hwy 27
Suite 286B
Somerset, KY 42501-3062
Phone (606) 302-2831

32 E Main St
Old Fort, NC 28762-0017
Phone (828) 668-6435

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Apr 1, 2021 Accepting new patients
Henderson County Hospital Corp CurrentSince Apr 1, 2021 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 2, 2022 Accepting new patients
Henderson County Hospital Corporation Family Medicine Current Accepting new patients
Ware Family Medicine PLLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
MH Blue Ridge Medical Center, LLLP Past Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

805 Fairview Rd
Ste 200
Asheville, NC 28803
Phone (828) 435-8450

712 Fleming St
Hendersonvlle, NC 28791
Phone (828) 694-7630

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

32 E Main St
Old Fort, NC 28762
Phone (828) 659-5741

Interoperability endpoints

  • Direct secure messaging: jesse.pace.1@23581.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 12

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1598027765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287620017",
            "telephone_number": "828-668-6435",
            "fax_number": "833-913-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287620017",
            "telephone_number": "828-668-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "JESSE",
        "middle_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-00846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jesse.pace.1@23581.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "32 E Main St",
            "city": "Old Fort",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287620017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Old Fort, NC

Sources for this page

Verify at the official NPI Registry.