Individual provider Active NPI

Christine F Higley, CRNP

  • Nurse Practitioner
  • Edinboro, PA
National Provider Identifier
1538306097
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP010135 Issued in PA
Practice address
450 Erie St
Edinboro, PA 16412-2200
Phone
(814) 734-1618
Fax
(814) 734-3102
NPI assigned
Jan 20, 2009
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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 SP010135 PA Primary

Addresses

Primary practice location

450 Erie St
Edinboro, PA 16412-2200

Mailing address

3530 Peach St
Suite LL1
Erie, PA 16508-2768
Phone (814) 860-5036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090226000594 PA Practitioner - Nurse Practitioner 6406912419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Assoc of ErieGroup PAC ID 7719936947, 5 clinicians

Practice addresses (Care Compare)

3416 State St
Erie, PA 16508-2832
Phone (814) 456-7548

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP010135PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Assoc of Erie CurrentSince Jan 27, 2017 Accepting new patients
Saint Vincent Medical Education and Research Institute Past Accepting new patients

Locations

3416 State St
Erie, PA 16508
Phone (814) 456-7548

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1538306097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 PEACH ST",
            "address_2": "SUITE LL1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082768",
            "telephone_number": "814-860-5036",
            "fax_number": "814-860-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ERIE ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122200",
            "telephone_number": "814-734-1618",
            "fax_number": "814-734-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGLEY",
        "first_name": "CHRISTINE",
        "middle_name": "F",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

Verify at the official NPI Registry.