Individual provider Active NPI

Derek Higgins, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1538865308
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-81570-052 Issued in KS
Practice address
1125 W Spruce St
Olathe, KS 66061-3123
Phone
(913) 826-4200
NPI assigned
Feb 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-81570-052 KS Primary

Addresses

Primary practice location

1125 W Spruce St
Olathe, KS 66061-3123

Mailing address

1125 W Spruce St
Olathe, KS 66061-3123
Phone (913) 826-1533

Other practice location 1

13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone (913) 353-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20230222002958 KS Practitioner - Nurse Practitioner 0244603207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottonwood Springs Physician Group LLCGroup PAC ID 6800199274, 21 clinicians

Practice addresses (Care Compare)

1125 W Spruce St
Olathe, KS 66061-3123
Phone (913) 826-4200

13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone (913) 353-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81570-052KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson County Mental Health Center CurrentSince Feb 13, 2023 Accepting new patients
Cottonwood Springs Physician Group LLC CurrentSince Feb 16, 2023 Accepting new patients
Cottonwood Springs Physician Group LLC Past Accepting new patients
Johnson County Mental Health Center Past Accepting new patients

Locations

6000 Lamar Ave
#130
Mission, KS 66202
Phone (913) 826-4200

15040 W 138th St
Olathe, KS 66062
Phone (913) 254-7265

920 W Spruce St
Olathe, KS 66061
Phone (913) 826-4200

13351 S Arapaho Dr
Olathe, KS 66062
Phone (913) 353-3000

1125 W Spruce St
Olathe, KS 66061
Phone (913) 782-2100

11120 W 65th St
Shawnee, KS 66203
Phone (913) 826-4100

6440 Nieman Rd
Shawnee, KS 66203
Phone (913) 826-4200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1538865308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W SPRUCE ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613123",
            "telephone_number": "913-826-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W SPRUCE ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613123",
            "telephone_number": "913-826-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13351 S Arapaho Dr",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660621520",
            "country_code": "US",
            "telephone_number": "913-353-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "DEREK",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-81570-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.