Gracie Mae Adkisson, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP4254 Issued in AZ

Practice address

2301 Pecan St
Texarkana, AR 71854-3656

Phone

(903) 278-5906

NPI assigned

Nov 8, 2011

Last updated

May 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mentallyfreepsychiatry.gracieadkisson@160667.advancedmd-direct.com

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

• Jewish Family & Children's Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1023174455
  Medicare reassignment NPD
• Spectrum Healthcare Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cottonwood, AZ
  • NPI 1487635389
  Medicare reassignment
• Health and Human Services Commission

  dba Rio Grande State Center

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  NPD
• Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • El Paso, TX
  • NPI 1679652440
  NPD
• Health and Human Services Commission

  dba Big Spring State Hospital

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD
• Jewish Family & Children's Service

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1609939214
  NPD
• Jewish Family & Children's Service

  • Community/Behavioral Health Agency
  • Gilbert, AZ
  • NPI 1881680254
  NPD
• Lakes Regional Mental Health Mental Retardation Center

  dba Lakes Regional Community Center

  • Community/Behavioral Health Agency
  • Terrell, TX
  • NPI 1881752715
  NPD
• Family Insight Inc

  • Professional Counselor
  • Richmond, VA
  • NPI 1194996280
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1063799856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030960",
            "telephone_number": "903-278-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PECAN ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543656",
            "telephone_number": "903-278-5906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Paragon Pl Ste 237",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301651",
            "country_code": "US",
            "telephone_number": "804-562-9997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10640 Page Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220304000",
            "country_code": "US",
            "telephone_number": "703-310-7665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 Waterford Lake Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231123994",
            "country_code": "US",
            "telephone_number": "804-658-4509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADKISSON",
        "first_name": "GRACIE",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP126190",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177015",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "AP126190",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa D Adams, LPN
• Lisa J Adams
• Teresa Addington
• Folake Adekunle, MD
• Rebekan Monserratt Adkins
• Advanced Portable X-Ray
• Advanced Portable X-Ray, LLC
• Evelyn Agu
• Ahm Action Home Health, LP (Enhabit Home Health)
• Gregory Allen Aitchison, MD

• Psychiatric/Mental Health Nurse Practitioner in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.