Individual provider Active NPI

Ashlie Margret Jacobs, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Center, TX
National Provider Identifier
1760957856
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP139115 Issued in TX
Practice address
630 Hurst St
Center, TX 75935-3414
Phone
(936) 657-1944
NPI assigned
Oct 4, 2018
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139115 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP139115 TX Primary

Addresses

Primary practice location

630 Hurst St
Center, TX 75935-3414

Mailing address

409 Cottage Rd
Carthage, TX 75633-1466
Phone (903) 694-4824

Other practice location 1

409 Cottage Rd
Carthage, TX 75633-1466
Phone (903) 694-4824

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181031002727 TX Practitioner - Nurse Practitioner 0648523076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whispering Pines Psychiatry PLLCGroup PAC ID 1456873900, 3 clinicians

Practice addresses (Care Compare)

215 Winchester Dr
Suite 106
Tyler, TX 75701-8801
Phone (903) 969-5125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Oct 1, 2022 Accepting new patients
Allan J. McCorkle, M.D.,P.a. CurrentSince Jan 20, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Oct 1, 2022 Accepting new patients
Health Opportunities for the People of East Texas Family Past Accepting new patients

Locations

3 Medical Dr
Ste A
Amarillo, TX 79106
Phone (806) 355-1313

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

702 Davis St
Carthage, TX 75633
Phone (903) 693-3841

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

7021 Kewanee Ave
Unit 6104
Lubbock, TX 79424
Phone (806) 355-1313

Interoperability endpoints

  • Direct secure messaging: ashlie.jacobs.1@13578.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1760957856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 COTTAGE RD",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331466",
            "telephone_number": "903-694-4824",
            "fax_number": "903-694-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 HURST ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353414",
            "telephone_number": "936-657-1944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Cottage Rd",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "TX",
            "postal_code": "756331466",
            "country_code": "US",
            "telephone_number": "903-694-4824",
            "fax_number": "903-694-4621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ASHLIE",
        "middle_name": "MARGRET",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139115",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center, TX

Sources for this page

Verify at the official NPI Registry.