Individual provider Active NPI

Jessica Rebekka Meyer, PA-C

  • Medical Physician Assistant
  • Fulshear, TX
National Provider Identifier
1679980734
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08377 Issued in TX
Practice address
7629 Tiki Dr
Fulshear, TX 77441-1548
Phone
(281) 205-4265
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA08377 TX Primary

Addresses

Primary practice location

7629 Tiki Dr
Fulshear, TX 77441-1548

Mailing address

7629 Tiki Dr
Fulshear, TX 77441-1548

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
I20141230002030 TX Practitioner - Physician Assistant 8729301551 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Nov 20, 2024 Accepting new patients
Cardiology Center of Houston PA CurrentSince Jan 6, 2022 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Nov 20, 2024 Accepting new patients
Judah Christian Counseling & Recovery PLLC Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7629 Tiki Dr
Fulshear, TX 77441
Phone (281) 346-0018

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

4801 Woodway Dr
Ste 369W
Houston, TX 77056
Phone (713) 622-7060

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: jessica.meyer.1@8042.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDECA

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Gulf Coast PLLC 511 clinicians

Practice addresses (Care Compare)

4801 Woodway Dr
Suite 369W
Houston, TX 77056-1892
Phone (713) 622-7060

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1679980734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 TIKI DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 TIKI DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411548",
            "telephone_number": "281-205-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JESSICA",
        "middle_name": "REBEKKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

Verify at the official NPI Registry.