Individual provider Active NPI

Christian Paul Jacobsen, MD

  • Family Medicine Physician
  • Groesbeck, TX
National Provider Identifier
1619618592
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U6259 Issued in TX
Practice address
204 W Trinity St
Groesbeck, TX 76642-1324
Phone
(254) 729-3740
Fax
(254) 729-8760
NPI assigned
Apr 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U6259 TX Primary

Addresses

Primary practice location

204 W Trinity St
Groesbeck, TX 76642-1324

Mailing address

701 McClintic Dr
Groesbeck, TX 76642-2128
Phone (254) 729-3281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411001948 TX Practitioner - Family Practice 1557700457 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Limestone Hospital DistrictGroup PAC ID 9032103700, 19 clinicians

Practice addresses (Care Compare)

204 W Trinity St
Rettig Fam Health Cre a Limestone Med Cent
Groesbeck, TX 76642-1324
Phone (254) 729-3740

Hospital & facility affiliations

  • Limestone Medical Center Hospital, Groesbeck, TX, CCN 451303
  • Limestone Medical Center Nursing home, CCN 45Z303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U6259TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Apr 1, 2024 Accepting new patients
South Limestone Hospital District CurrentSince Jul 1, 2025 Accepting new patients
South Limestone Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Concord Medical Group PLLC CurrentSince Apr 3, 2024 Accepting new patients
South Limestone Hospital District Past Accepting new patients
South Limestone Hospital District Family Medicine Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

801 McClintic Dr
Groesbeck, TX 76642
Phone (254) 729-3411

204 W Trinity St
Groesbeck, TX 76642
Phone (254) 729-3740

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

206 N Narcissus
Kosse, TX 76653
Phone (254) 375-7001

204 W Trinity St
#A
Lake Limestone, TX 76642
Phone (254) 729-3740

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

200 N Pearl St
Mart, TX 76664
Phone (254) 876-2566

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.

Hospital & facility affiliations 1

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1619618592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MCCLINTIC DR",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766422128",
            "telephone_number": "254-729-3281",
            "fax_number": "254-729-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W TRINITY ST",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766421324",
            "telephone_number": "254-729-3740",
            "fax_number": "254-729-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "CHRISTIAN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U6259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groesbeck, TX

Sources for this page

Verify at the official NPI Registry.