Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Kelton

Individual provider Nurse Practitioner · NPI 1730583840

Jacob Kelton is a Nurse Practitioner in Texarkana, Texas. Qualified in 2014, 12 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2600 Saint Michael Dr
Texarkana, TX 75503-5220
Phone: (903) 826-3439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP126076 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP126076 (TX)

Record details

NPI number1730583840
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 17, 2014
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address2600 Saint Michael Dr, Texarkana, TX 75503-5220

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Texarkana