NPIMap

Individual provider Active NPI

Rachel Higgins

  • Nurse Practitioner
  • Centerville, IA
National Provider Identifier
1336695428
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A133726 Issued in IA
Practice address
19942 Saint Joseph Dr
Centerville, IA 52544-8849
Phone
(641) 856-8684
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A133726 IA Primary

Addresses

Primary practice location

19942 Saint Joseph Dr
Centerville, IA 52544-8849

Mailing address

19876 Saint Joseph Dr
Centerville, IA 52544-8850
Phone (641) 856-8684

Other identifiers 2

IdentifierTypeStateIssuer
A133726OtherIALICENSE
133726OtherLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170207002795 IA Practitioner - Nurse Practitioner 5597048090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Center-CentervilleGroup PAC ID 9739077652, 37 clinicians

Practice addresses (Care Compare)

1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone (641) 437-4111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Centerville CurrentSince Jan 7, 2017 Accepting new patients
Mercy Medical Center-Centerville Current Accepting new patients
Mercy Medical Center-Centerville CurrentSince Jan 7, 2017 Accepting new patients

Locations

19876 Saint Joseph Dr
Centerville, IA 52544
Phone (515) 856-8684

19942 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 856-8684

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

Interoperability endpoints

  • Direct secure messaging: rhiggins3944557@direct.trinity-health.org

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1336695428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19876 SAINT JOSEPH DR",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525448850",
            "telephone_number": "641-856-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19942 SAINT JOSEPH DR",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525448849",
            "telephone_number": "641-856-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A133726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A133726",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "133726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

Verify at the official NPI Registry.