Individual provider Active NPI

Elizabeth A Higgins

  • Family Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1699301408
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11862 Issued in WI
Practice address
1130 W Sunset Dr
Waukesha, WI 53189-8422
Phone
(808) 732-0782
NPI assigned
Mar 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11862 WI Primary
Family Medicine Physician 207Q00000X GA-NP000773 GA

Addresses

Primary practice location

1130 W Sunset Dr
Waukesha, WI 53189-8422

Mailing address

1130 W Sunset Dr
Waukesha, WI 53189-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, WI, SC, NJ, NY, CT7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20220615003414 GA Practitioner - Nurse Practitioner 2668893496 Reassigns benefits to 1 organization
I20220705002273 NC Practitioner - Nurse Practitioner 2668893496
I20220915000351 WI Practitioner - Nurse Practitioner 2668893496 Reassigns benefits to 1 organization
I20220916000756 SC Practitioner - Nurse Practitioner 2668893496
I20221027000172 NJ Practitioner - Nurse Practitioner 2668893496 Reassigns benefits to 1 organization
I20230110000822 NY Practitioner - Nurse Practitioner 2668893496 Reassigns benefits to 1 organization
I20230406001888 CT Practitioner - Nurse Practitioner 2668893496

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11401CTMDMental Health Counselor
GA-NP000773GAMDFamily Medicine Physician
11862WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of New York, P.C. Family CurrentSince Dec 10, 2022 Accepting new patients
Minuteclinic LLC Family CurrentSince May 12, 2022 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family Medicine CurrentSince Sep 14, 2022 Accepting new patients

Locations

2782 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (770) 420-1092

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: elizabeth.pavlik@340371529072644.direct.elationemr.com
  • Direct secure messaging: elizabeth.higgins.1@30093.direct.athenahealth.com

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": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1699301408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W SUNSET DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531898422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W SUNSET DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531898422",
            "telephone_number": "808-732-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11862",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GA-NP000773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.