Active NPI
Elizabeth A Higgins
- Family Nurse Practitioner
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11862
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11401 | CT | MD | Mental Health Counselor |
| GA-NP000773 | GA | MD | Family Medicine Physician |
| 11862 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of New Jersey LLC | Family Medicine | Current | 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
- elizabeth.pavlik@340371529072644.direct.elationemr.com
- 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.
-
- Family Nurse Practitioner
- Eastchester, NY
- NPI 1487983516
-
- Family Nurse Practitioner
- Sewell, NJ
- NPI 1053353615
Family Medicine
-
- Family Nurse Practitioner
- Milwaukee, WI
- NPI 1932732914
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.