Active NPI
Jacqueline Higgins, APRN, NP
- Pain Medicine Physician
- Maplewood, MN
National Provider Identifier
1801879374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- R148755-4
- Practice address
- 1600 Saint Johns Blvd
Maplewood, MN 55109-1183 - Phone
- (651) 232-5354
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | R148755-4 | MN | Primary |
Addresses
Primary practice location
1600 Saint Johns Blvd
Maplewood, MN 55109-1183
Mailing address
3821 Halifax Ave N
Robbinsdale, MN 55422-2213
Phone (763) 843-3898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R148755-4 | MN | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients |
Locations
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
Interoperability endpoints
- everestmenshealth.jacquelinehiggins@145282.advancedmd-direct.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.
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Surgery Physician
- Maplewood, MN
- NPI 1750791810
-
- Clinic/Center
- Oakdale, MN
- NPI 1073569935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1801879374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 HALIFAX AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222213",
"telephone_number": "763-843-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SAINT JOHNS BLVD",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091183",
"telephone_number": "651-232-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "JACQUELINE",
"name_prefix": "Ms.",
"credential": "APRN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MN",
"license": "R148755-4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.