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MS. GRACIE MAE ADKISSON PMHNP-BC
NPI 1063799856
Nurse Practitioner - Psychiatric/Mental Health in Texarkana, AR

Active since November 08, 2011PECOS Enrolled
2301 PECAN ST, TEXARKANA, AR 71854(903) 278-5906 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2023, Dec 20, 2021, Feb 15, 2021 (3 updates tracked since 2021).

About Ms. Gracie Mae Adkisson Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GRACIE MAE ADKISSON PMHNP-BC (NPI 1063799856) is an individual psychiatric/mental health provider in Texarkana, Arkansas, licensed in Arizona (AP4254) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063799856
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. GRACIE MAE ADKISSONCredential: PMHNP-BC
Location Address2301 PECAN STTexarkana, AR 71854-3656
Mailing Address5812 Mcknight RdTexarkana, TX 75503-0960 · (903) 278-5906
Phone(903) 278-5906
Sole ProprietorYes
Enumeration DateNovember 8, 2011
Last NPPES UpdateMay 24, 20233 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1063799856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AZ · AP4254✔ Licensed in TX · AP126190✔ Licensed in VA · 0024177015
2301 PECAN ST, Texarkana, AR 71854
Open in Google Maps ↗

Secondary Practice Locations 3

Location 16800 Paragon Pl Ste 237Richmond, VA 23230-1651 · Phone (804) 562-9997
Location 210640 Page Ave Ste 220Fairfax, VA 22030-4000 · Phone (703) 310-7665
Location 32820 Waterford Lake Dr Ste 102Midlothian, VA 23112-3994 · Phone (804) 658-4509

Other Identifiers 1

OtherAP126190TX · State License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Gracie Mae Adkisson Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gracie Adkisson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Healthcare Group, Inc.
985 mi
Mental Health (Including Community Mental Health Center)
1200 N COUNTRY CLUB RD
Tucson, AZ 85716
  • Reassigned Medicare billing, Arizona enrollment
  • 58 clinicians in this Medicare group
NPI 1831811850 (877) 634-7333
Jewish Family & Children's Service
1,028 mi
Community/Behavioral Health
880 N COLORADO ST
Gilbert, AZ 85233
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Jewish Family & Childrens Service
  • 136 clinicians in this Medicare group
NPI 1881680254 (480) 820-0825

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gracie Adkisson's NPI number?

The NPI number for Gracie Adkisson is 1063799856. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Gracie Adkisson located?

Gracie Adkisson practices at 2301 Pecan St, Texarkana, AR 71854. The listed phone number is (903) 278-5906.

What is Gracie Adkisson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gracie Adkisson enrolled in Medicare?

Yes. Gracie Adkisson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gracie Adkisson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gracie Adkisson reassigns Medicare benefits to 2 organizations: Spectrum Healthcare Group, Inc. (Tucson, AZ) and Jewish Family & Children's Service (Gilbert, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gracie Adkisson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gracie Adkisson was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.