Individual provider Active NPI

Nicole Christina Higgins, PA-C

  • Medical Physician Assistant
  • Huron, SD
National Provider Identifier
1215274451
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0845 Issued in SD
Practice address
33 3Rd St SE Ste 201
Huron, SD 57350-2064
Phone
(605) 677-6274
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1760 NE
Medical Physician Assistant 363AM0700X 0845 SD Primary

Addresses

Primary practice location

33 3Rd St SE Ste 201
Huron, SD 57350-2064

Mailing address

710 Saint Helena St
Saint Helena, NE 68774-5036

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
I20130723001014 TX Practitioner - Physician Assistant 5698811651 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0845SDMDMedical Physician Assistant
1760NEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santee Sioux Tribe of Nebraska CurrentSince Jul 24, 2017 Accepting new patients
Affordable Medical Care LLC Past Accepting new patients

Locations

110 S Visiting Eagle St
Niobrara, NE 68760
Phone (402) 857-2300

Organizations & group practices 2

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1215274451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SAINT HELENA ST",
            "city": "SAINT HELENA",
            "state": "NE",
            "postal_code": "687745036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 3RD ST SE STE 201",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502064",
            "telephone_number": "605-677-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1760",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SD",
            "license": "0845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.