Individual provider Active NPI

Jordan Carmen Meeker, PA-C

  • Physician Assistant
  • Fulshear, TX
National Provider Identifier
1609268762
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19758 Issued in TX
Practice address
27131 Fulshear Bend Dr
Fulshear, TX 77441-1231
Phone
(281) 612-0050
Fax
(281) 612-0051
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19758 TX Primary
Dermatology Physician 207N00000X 101911 IA
Medical Physician Assistant 363AM0700X 101911 IA

Addresses

Primary practice location

27131 Fulshear Bend Dr
Fulshear, TX 77441-1231

Mailing address

27131 Fulshear Bend Dr
Fulshear, TX 77441-1231
Phone (281) 612-0050

Other names 1

  • Ms. Carmen Meeker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200819000114 IA Practitioner - Physician Assistant 2860719119 Reassigns benefits to 1 organization
I20260108000297 TX Practitioner - Physician Assistant 2860719119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Clinic of Iowa PCGroup PAC ID 9436143542, 10 clinicians

Practice addresses (Care Compare)

1815 1St Ave SE
Cedar Rapids, IA 52402-5417
Phone (319) 363-0474

Merit-based Incentive Payment System (MIPS)

Final score
92.15 of 100Reported as group
Quality
94.02
Promoting interoperability
98
Improvement activities
40
Cost
81.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA19758TXMDPhysician Assistant
101911IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Derm Services, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Elite Dermatology, PLLC Dermatology CurrentSince Dec 1, 2025 Accepting new patients
Hughston Clinic, P.C. Past Accepting new patients

Locations

27131 Fulshear Bend Dr
Fulshear, TX 77441
Phone (281) 612-0050

20326 State Highway 249
Ste 400
Houston, TX 77070
Phone (281) 501-5599

1930 Pearland Pkwy
Ste 154
Pearland, TX 77581
Phone (281) 816-5503

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1609268762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27131 FULSHEAR BEND DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411231",
            "telephone_number": "281-612-0050",
            "fax_number": "281-612-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27131 FULSHEAR BEND DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411231",
            "telephone_number": "281-612-0050",
            "fax_number": "281-612-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKER",
        "first_name": "JORDAN",
        "middle_name": "CARMEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19758",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "101911",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "101911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "MEEKER",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fulshear, TX

Sources for this page

Verify at the official NPI Registry.