Mina K Higgins, FNP
Individual provider Active NPI Nurse Practitioner · Gainesville, MO
NPI 1285721043 · NPPES record last updated Jan 15, 2020
Key facts
- NPI
- 1285721043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 123728 (MO)
- Practice address
- 87 Elm Street
Gainesville, MO 65655-0000 - Phone
- (417) 679-2775
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Douglas County Public Health Services Group, Inc.
Practice addresses (Care Compare)
87 Elm St
Missouri Ozarks Community Health
Gainesville, MO 65655-7131
Phone (417) 679-2775
Hospital & facility affiliations
- Centerwell Home Health
- Baxter Health
- Ozarks Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071129000218 | MO | Practitioner - Nurse Practitioner | 1456440411 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123728 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas County Public Health Services Group, Inc. | Past |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 123728 | MO | Yes |
Addresses
Primary practice location
87 Elm Street
Gainesville, MO 65655-0000
Mailing address
PO Box 1359
Ava, MO 65608-1359
Phone (417) 683-4831
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143948 | Other | BLUE CROSS OF MO | |
| 425435427 | Medicaid | MO |
Other providers in Gainesville, MO
- Chris V Geroff
- Rebecca Marie Gosdin
- Lacy Dawn Green
- Healing Intentionally, LLC
- Edward Henegar
- Devin Hillman
- Heather Rose Hoffman
- Lisa Marie Hoffman
- Randy L Hollrah
- Frances Anne Kimbrough
All providers in Gainesville, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.