Individual provider Active NPI

Carrie Marie Pottmeyer, PA-C

  • Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1558012864
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7619 Branford PL
Sugar Land, TX 77479-7217
Phone
(713) 575-3686
NPI assigned
Jan 18, 2022
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7619 Branford PL
Sugar Land, TX 77479-7217

Mailing address

4747 Bellaire Blvd Ste 550
Bellaire, TX 77401-4121
Phone (713) 575-3686

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
I20220222000361 TX Practitioner - Physician Assistant 0042604878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

18980 W Memorial Dr
Suite 440
Humble, TX 77338-4559
Phone (832) 616-5190

925 Gessner Rd
Suite 550
Houston, TX 77024-2843
Phone (713) 467-1722

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.89 of 100Reported as group
Quality
81.15
Promoting interoperability
84
Improvement activities
40
Cost
45.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Sep 15, 2025 Accepting new patients
Texas Oncology PA CurrentSince Sep 15, 2025 Accepting new patients
Texas Oncology PA Past Accepting new patients

Locations

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

18980 W Memorial Dr
Ste 440
Humble, TX 77338
Phone (832) 616-5190

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

Interoperability endpoints

  • Direct secure messaging: carrie.pottmeyer@txo.ikm.direct-ci.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.

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1558012864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD STE 550",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014121",
            "telephone_number": "713-575-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 BRANFORD PL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797217",
            "telephone_number": "713-575-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTMEYER",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.