Keeanndase Pace, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

221787 Issued in AR

Practice address

15604 Alexander Rd Unit 35
Alexander, AR 72002-3002

Phone

(501) 351-8753

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Supportive Psych Care of Arkansas PAGroup PAC ID 8820474661, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Supportive Psych Care of Arkansas PA

  • Psychiatry Physician
  • Siloam Springs, AR
  • NPI 1437887437
  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  • Psychiatry Physician
  • Bryant, AR
  • NPI 1871959874

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Ouachita Regional Counseling & Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hot Springs, AR
  • NPI 1821087123
  Medicare reassignment NPD
• Steady Pace Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Rock, AR
  • NPI 1255219234
  NPD Authorized official
• 10TH District Substance Abuse Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Warren, AR
  • NPI 1376805515
  NPD
• 10TH District Substance Abuse Treatment Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pine Bluff, AR
  • NPI 1679360820
  NPD
• 10TH District Substance Abuse Treatment Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monticello, AR
  • NPI 1992592158
  NPD
• Arkansas Health Group

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Ouachita Regional Counseling & Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arkadelphia, AR
  • NPI 1699928135
  NPD
• Ouachita Regional Counseling and Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Benton, AR
  • NPI 1780440305
  NPD
• Arkansas Health Group

  • Obstetrics & Gynecology Physician
  • Arkadelphia, AR
  • NPI 1720417835
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1790408482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15604 ALEXANDER RD UNIT 35",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720023002",
            "telephone_number": "501-351-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 ALEXANDER RD UNIT 35",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720023002",
            "telephone_number": "501-351-8753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10025 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722051407",
            "country_code": "US",
            "telephone_number": "501-663-5473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721042233",
            "country_code": "US",
            "telephone_number": "501-332-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "KEEANNDASE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "221787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@lhse.com",
            "affiliation": "N",
            "endpointDescription": "diresct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10025 W Markham St",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722051407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Victoria Powell, RN
• Precision Spine, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Alexander, AR
• Providers in Alexander, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.