Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob G Thoele, AGACNP-C

Individual provider Nurse Practitioner · NPI 1003398157

Jacob G Thoele, AGACNP-C is a Nurse Practitioner in Tyler, Texas. Qualified in 2018, 8 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

910 E Houston St Ste 550
Tyler, TX 75702-8366
Phone: (903) 606-8718
Fax: (903) 606-1218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 703 S Fleishel Ave Ste 4000, Tyler, TX 75701-2015 — (903) 606-7000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP137474 (TX)

Record details

NPI number1003398157
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-C
Sole proprietorYes
NPI enumeratedSeptember 5, 2018
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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