Individual provider Active NPI

Tyler Higaki

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1104612175
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1000745-NP Issued in CO
Practice address
1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597
Phone
(719) 373-9703
NPI assigned
Apr 16, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1000745-NP CO Primary

Addresses

Primary practice location

1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597

Mailing address

1115 Elkton Dr Ste 300
Colorado Springs, CO 80907-3597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250430001397 CO Practitioner - Nurse Practitioner 8820514060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Achieve Whole Recovery, PCGroup PAC ID 8123388527, 23 clinicians

Practice addresses (Care Compare)

1115 Elkton Dr
Suite 300
Colorado Springs, CO 80907-3597
Phone (719) 373-9703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1000745-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Whole Recovery, PC Current Accepting new patients
Achieve Whole Recovery, PC CurrentSince Apr 21, 2025 Accepting new patients
Achieve Whole Recovery PC CurrentSince Apr 21, 2025 Accepting new patients

Locations

1115 Elkton Dr
Ste 300
Colorado Springs, CO 80907
Phone (719) 357-6471

1905 N Sherman St
Ste 900
Denver, CO 80203
Phone (303) 749-5150

8380 Zuni St
Ste 305
Westminster, CO 80221
Phone (719) 357-6471

Organizations & group practices 3

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": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1104612175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ELKTON DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073597",
            "telephone_number": "719-373-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGAKI",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000745-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.