Individual provider Active NPI

Grace Victoria Spinks, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1942766035
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20081 Issued in TX
Practice address
1121 5TH Ave Ste 100
Fort Worth, TX 76104-4386
Phone
(817) 423-8585
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20081 TX Primary

Addresses

Primary practice location

1121 5TH Ave Ste 100
Fort Worth, TX 76104-4386

Mailing address

1121 5TH Ave Ste 100
Fort Worth, TX 76104-4386
Phone (817) 423-8585

Other practice location 1

1116 S Henderson St
Fort Worth, TX 76104-4430
Phone (817) 423-8585

Other names 1

  • Grace Victoria Hixson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX2 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
I20200730001005 DC Practitioner - Physician Assistant 8022433671 Reassigns benefits to 2 organizations
I20260410002601 TX Practitioner - Physician Assistant 8022433671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1121 5TH Ave
Suite 100
Fort Worth, TX 76104-4386
Phone (817) 423-8585

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20081TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Hospital Center Corp CurrentSince Jun 18, 2020 Accepting new patients
Consultants in Cardiovascular Medicine and Science-Fort Worth CurrentSince Mar 2, 2026 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Texas Health Care, P.L.L.C. PastSince Mar 2, 2026 Accepting new patients

Locations

110 Irving St NW
#4B42
Washington, DC 20010
Phone (202) 877-7462

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1121 5th Ave
Ste 100
Fort Worth, TX 76104
Phone (817) 423-8585

1116 S Henderson St
Ft Worth, TX 76104
Phone (817) 336-6048

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1942766035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 5TH AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044386",
            "telephone_number": "817-423-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 5TH AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044386",
            "telephone_number": "817-423-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 S Henderson St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044430",
            "country_code": "US",
            "telephone_number": "817-423-8585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPINKS",
        "first_name": "GRACE",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "HIXSON",
            "middle_name": "VICTORIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.