Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jodi Pace, AGNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1063860575

Jodi Pace, AGNP-BC is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2015, 11 years ago. Practices with Sansum Clinic, a 320-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Kentucky.

Years since qualifying
11
Licensed in
CA, KY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4604 Lowe Rd
Louisville, KY 40220-1514
Phone: (502) 451-1401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 — (916) 241-9844

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3016301 (KY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95004392 (CA)

Record details

NPI number1063860575
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorNo
NPI enumeratedMay 25, 2016
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sansum Clinic — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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