Individual provider Active NPI

Kelly Jean Higgins, PA-C

  • Physician Assistant
  • Duluth, MN
National Provider Identifier
1336459635
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10863 Issued in MN
Practice address
920 E 1St St
Ste. P201
Duluth, MN 55805-2201
Phone
(218) 249-7970
Fax
(218) 249-7997
NPI assigned
Oct 20, 2010
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X 10863 MN Primary

Addresses

Primary practice location

920 E 1St St
Ste. P201
Duluth, MN 55805-2201

Mailing address

920 E 1St St
Ste. P201
Duluth, MN 55805-2201
Phone (218) 249-7970

Other practice location 1

402 E 2nd St
Duluth, MN 55805-1906
Phone (218) 786-4000

Other names 1

  • Kelly Jean Higgins Kleven Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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
I20110324000931 MN Practitioner - Physician Assistant 0749463909 Reassigns benefits to 12 organizations
I20200423001554 WI Practitioner - Physician Assistant 0749463909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Cuyuna Regional Medical CenterGroup PAC ID 9537146550, 133 clinicians
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

1413 Hwy 33 S
Cloquet, MN 55720-2626
Phone (218) 337-4000

320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-7000

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

402 E 2ND St
Duluth, MN 55805-1906
Phone (218) 786-4000

4212 Grand Ave
Duluth, MN 55807-2737
Phone (218) 786-3500

4855 W Arrowhead Rd
Hermantown, MN 55811-3936
Phone (218) 786-3540

502 E 2ND St
Duluth, MN 55805-1913
Phone (218) 786-8364

530 E 2ND St
Duluth, MN 55805-1913
Phone (218) 786-8364

603 9TH St N
Virginia, MN 55792-2319
Phone (218) 741-3013

901 9TH St N
Virginia, MN 55792-2398
Phone (218) 748-7750

915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5439

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1512MNMDMarriage & Family Therapist
10863MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Essentia Health Moose Lake CurrentSince Jan 12, 2026 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Aug 22, 2022 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jan 12, 2026 Accepting new patients
Essentia Health Moose Lake CurrentSince Jan 12, 2026 Accepting new patients
International Falls Memorial Hospital Association CurrentSince Dec 4, 2023 Accepting new patients
Northern Pines Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Pine Medical Center CurrentSince Jul 13, 2020 Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Aug 22, 2022 Accepting new patients
International Falls Memorial Hospital Association CurrentSince Dec 4, 2023 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Feb 10, 2026 Accepting new patients
St. Mary's Hospital of Superior CurrentSince Mar 1, 2020 Accepting new patients
Northern Pines Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Feb 10, 2026 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
The Duluth Clinic LTD CurrentSince Jan 12, 2026 Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients

Locations

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1336459635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 1ST ST",
            "address_2": "STE. P201",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052201",
            "telephone_number": "218-249-7970",
            "fax_number": "218-249-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 1ST ST",
            "address_2": "STE. P201",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052201",
            "telephone_number": "218-249-7970",
            "fax_number": "218-249-7997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051906",
            "country_code": "US",
            "telephone_number": "218-786-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "10863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "KLEVEN",
            "middle_name": "JEAN HIGGINS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.