Individual provider Active NPI

Jessica Higlen, FNP-C

  • Family Nurse Practitioner
  • Hermann, MO
National Provider Identifier
1770176273
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11200776 Issued in MO
Practice address
127 E 4TH St
Hermann, MO 65041-1129
Phone
(573) 271-2927
NPI assigned
Feb 16, 2021
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F11200776 MO Primary

Addresses

Primary practice location

127 E 4TH St
Hermann, MO 65041-1129

Mailing address

5 Bryan Valley CT
O Fallon, MO 63366-3465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20211001001830 MO Order and Referring Only - Nurse Practitioner 3870991003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F11200776MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1770176273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRYAN VALLEY CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E 4TH ST",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650411129",
            "telephone_number": "573-271-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGLEN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F11200776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermann, MO

Sources for this page

Verify at the official NPI Registry.