GRACIE ADAMS APRN-CNP
NPI 1215583430
Nurse Practitioner - Family in Mcallen, TX

Active since August 13, 2019PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
1100 E DOVE AVE STE 402, MCALLEN, TX 78504(956) 362-8125(956) 362-8135 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, May 8, 2025, Mar 10, 2025 and 3 more (6 updates tracked since 2019).

About Gracie Adams Aprn-cnp NPPES

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

GRACIE ADAMS APRN-CNP (NPI 1215583430) is an individual family provider in Mcallen, Texas, licensed in Texas (AP141842) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215583430
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACIE ADAMSCredential: APRN-CNP
Location Address1100 E DOVE AVE STE 402Mcallen, TX 78504-4684
Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-8125 · Fax (956) 362-8135
Fax(956) 362-8135
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 13, 2019
Last NPPES UpdateJune 23, 20256 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
NPI 1215583430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP141842
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP141842 (TX)
1100 E DOVE AVE STE 402, Mcallen, TX 78504

Other Identifiers 2

OtherH08LR79201TX · Bcbs
Medicaid4025512-01TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gracie Adams Aprn-cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193055648
PECOS Enrollment IDI20190925002885
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
143 services77 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
88 services54 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
29 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Reported Quality Measures

Breast Cancer Screening
16%162 patients1/55-star benchmark: 93%
Cervical Cancer Screening
19%231 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
36%194 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
14%377 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
54%46 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
24%21 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
76%21 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,312 patients4/55-star benchmark: 100%
e-Prescribing
97%206 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%739 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%1,068 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 60% · 509 patients
Patients screened: 61% · 509 patients
84%25 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
68%501 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Otolaryngology
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Nurse Practitioner (Family)
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Otolaryngology
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Otolaryngology
1100 E DOVE AVE STE 402
MCALLEN, TX 78504
Otolaryngology (Plastic Surgery within the Head & Neck)
1100 E DOVE AVE STE 402
MCALLEN, TX 78504

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 Adams's NPI number?

The NPI number for Gracie Adams is 1215583430. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Where is Gracie Adams located?

Gracie Adams practices at 1100 E Dove Ave Ste 402, Mcallen, TX 78504. The listed phone number is (956) 362-8125.

What is Gracie Adams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gracie Adams enrolled in Medicare?

Yes. Gracie Adams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gracie Adams accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Gracie Adams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gracie Adams affiliated with any hospitals?

According to CMS data, Gracie Adams is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Gracie Adams was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.