NPIMap

Individual provider Active NPI

Jason Frank Pace, PA

  • Medical Physician Assistant
  • Show Low, AZ
National Provider Identifier
1932423381
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5922 Issued in AZ
Practice address
2451 S White Mountain Rd
Show Low, AZ 85901-7306
Phone
(928) 532-7599
Fax
(928) 532-8599
NPI assigned
Mar 15, 2010
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5922 AZ Primary

Addresses

Primary practice location

2451 S White Mountain Rd
Show Low, AZ 85901-7306

Mailing address

2451 S White Mountain Rd
Show Low, AZ 85901-7306
Phone (928) 532-7599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150226002365 AZ Practitioner - Physician Assistant 8325364805 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth G. Lawlor, DO, PLLCGroup PAC ID 5395931331, 2 clinicians

Practice addresses (Care Compare)

1355 W White Mountain Blvd
Suite a
Lakeside, AZ 85929-7068
Phone (928) 358-4086

3108 Clearwater Dr
Prescott, AZ 86305-7170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5922AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Timber Medical and Pain Center PLLC Current Accepting new patients
Kenneth G. Lawlor, DO, PLLC CurrentSince Feb 20, 2023 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Next Level Facility LLC PastSince Nov 12, 2023 Accepting new patients

Locations

1355 W White Mountain Blvd
Ste A
Lakeside, AZ 85929
Phone (928) 358-4086

3108 Clearwater Dr
Ste A
Prescott, AZ 86305
Phone (928) 717-0788

2451 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 532-6599

Interoperability endpoints

  • Direct secure messaging: jason.pace.1@30296.direct.athenahealth.com
  • Direct secure messaging: jason.pace.p1@direct.prescottrheum.nextgenshare.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 4

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1932423381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 S WHITE MOUNTAIN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017306",
            "telephone_number": "928-532-7599",
            "fax_number": "928-532-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 S WHITE MOUNTAIN RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017306",
            "telephone_number": "928-532-7599",
            "fax_number": "928-532-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "JASON",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.