KEEANNDASE PACE (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1790408482
Psychiatric/Mental Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for KEEANNDASE PACE (APRN)
10025 W Markham St
Little Rock, AR 722051407
Phone: (501) 663-5473
Type: Location
1615 Martin Luther King Blvd
Malvern, AR 721042233
Phone: (501) 332-5236
Type: Location
9439 PRINCETON PIKE
PINE BLUFF, AR 716028536
Phone: (501) 366-6015
Type: Mailing
10025 W MARKHAM ST
LITTLE ROCK, AR 722051407
Phone: (501) 663-5473
Type: Location
15604 ALEXANDER RD UNIT 35
ALEXANDER, AR 720023002
Phone: (501) 351-8753
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($120).
Total Amount
$142
General + Research + Ownership
Payments
2
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $120 |
| Otsuka America Pharmaceutical, Inc. | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230525000834 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 468 | 122 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 118 | 118 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 76 | 52 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 17 | 13 | $0 |
Insurance plans in this area (ZIP 72205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Nurse Practitioner | AR | |
| Clinical Social Worker | AR | |
| Clinical Social Worker | AR | |
| Clinical Social Worker | AR | |
| Nurse Practitioner | AR | |
| Mental Health Counselor | AR | |
| Nurse Practitioner, Psychiatry | AR | |
| Clinical Social Worker | AR | |
| Mental Health Counselor | AR |
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