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Deactivated NPI 1164957692 Deactivated / Inactive NPI Female Practitioner

Jolene Ackley

Private Vehicle • Gladewater, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jolene Ackley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 21, 2017
NPI Deactivation Date November 13, 2025
Total Practice Duration ~8 Years of Practice (2017 – 2025)

Professional Overview & Biography Verified Profile Summary

Jolene Ackley was a registered Private Vehicle practicing in Gladewater, TX. Throughout an active medical career spanning 8 years, Jolene Ackley provided care at the practice location at 500 W MARSHALL AVE until profile deactivation on 2025-11-13.

Practice Location & Contact Primary Location

Practice Address

500 W Marshall Ave

Gladewater, TX 756472110

Telephone 9034700510

Specialty Benchmarks & Practice Insights

Comparative analytics for Private Vehicle in Gladewater, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Gladewater, TX (207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Private Vehicle Primary Specialty

NUCC Taxonomy Code: 347C00000X

State License TX 07767775

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2025

Record deactivated on November 13, 2025

NPI Profile Active April 21, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 21, 2017

Registered at 500 W MARSHALL AVE, GLADEWATER, TX 756472110 (Tel: 9034700510)

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Updated Business Mailing Address April 21, 2017

Registered at 500 W MARSHALL AVE, GLADEWATER, TX 756472110 (Tel: 9034700510)

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Provider Name / Credentials Updated April 21, 2017

Recorded as JOLENE ACKLEY

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2017

Private Vehicle (License #07767775 in TX)

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Initial NPI Registration & Enumeration April 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164957692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2017
Last Update: April 21, 2017
Deactivation Date: November 13, 2025

Mailing Address

500 W Marshall Ave

Gladewater, TX 756472110

Phone: 9034700510

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.