Individual provider Active NPI

Grace Hampton, NP

  • Women's Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1043920721
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1013114 Issued in TX
Practice address
2800 E Broad St Ste 100
Mansfield, TX 76063-6410
Phone
(682) 518-1035
Fax
(682) 518-1045
NPI assigned
Dec 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1013114 TX
Women's Health Nurse Practitioner 363LW0102X 1013114 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 100
Mansfield, TX 76063-6410

Mailing address

2800 E Broad St Ste 100
Mansfield, TX 76063-6410
Phone (682) 518-1035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230309000950 TX Practitioner - Nurse Practitioner 8729451901 Reassigns benefits to 2 organizations
I20251006000692 IA Practitioner - Nurse Practitioner 8729451901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Mercyone Genesis Davenport Patholog
Davenport, IA 52803-2459
Phone (563) 421-6610

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jan 1, 2024 Accepting new patients
Medhealth CurrentSince Jan 1, 2024 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Mar 6, 2023 Accepting new patients
Genesis Health System CurrentSince Jul 31, 2025 Accepting new patients
Genesis Health System CurrentSince Jul 31, 2025 Accepting new patients
Medical Clinic of North Texas, PLLC CurrentSince Mar 6, 2023 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

619 5th St
Durant, IA 52747
Phone (563) 785-4487

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

2800 E Broad St
Ste 100
Mansfield, TX 76063
Phone (682) 518-1035

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1043920721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636410",
            "telephone_number": "682-518-1035",
            "fax_number": "682-518-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636410",
            "telephone_number": "682-518-1035",
            "fax_number": "682-518-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1013114",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1013114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.