Kelly Higgins, ARNP
Individual provider Active NPI Gerontology Nurse Practitioner · Orlando, FL
NPI 1497769657 · NPPES record last updated May 23, 2017
Key facts
- NPI
- 1497769657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 1930852 (FL)
- Practice address
- 89 W Copeland Dr
Orlando, FL 32806-2028 - Phone
- (407) 841-5281
- Fax
- (407) 648-9879
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1941 Mohican TRL
Maitland, FL 32751-3729
Phone (407) 325-6712
Hospital & facility affiliations
- Trilogy Home Healthcare
- Towers Home Care
- Legacy Home Health
- Village Home Care LLC
- Pinnacle Home Care of the Villages Inc
- Vitas Healthcare Corporation of Florida
- Adventhealth Hospice Care Central Florida
- Halifax Health Hospice
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.39 of 100
- Quality
- 86.16
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20040429001321 | FL | Practitioner - Nurse Practitioner | 4385631324 | Practice locations: Maitland, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1930852 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Inc | Past | Accepting new patients | |
| Rural Medical Associates Inc | Past | Accepting new patients | |
| Nursemd at Home, LLC | Past | Accepting new patients | |
| Gary G Lehman MD PA | Past |
Accepting new patients | |
| Orlando Health Inc | Past | Accepting new patients | |
| Mid Florida Internal Medicine | Past | Accepting new patients | |
| Orlando Cancer Center Inc | Past | Accepting new patients | |
| Lidia Oliveira, D.O., P.a. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1930852 | FL | Yes |
Addresses
Primary practice location
89 W Copeland Dr
Orlando, FL 32806-2028
Mailing address
1941 Mohican Trail
Maitland, FL 32751
Phone (407) 325-6712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305002500 | Medicaid | FL |
Other providers in Orlando, FL
- Emily K Hietschold
- Suzanne M Higbie-Long
- Kaitlin M Higby
- Brooke Higgins
- Christine Higgins
- Sheralyn Marie Higgins
- Amy High
- Heather Reed High
- Alanis Highley
- Alexandria Rae Hightower
All providers in Orlando, FL · Gerontology Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2017. 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.