Individual provider Active NPI

Kasandra Jane Higdon, ARNP, FNP-BC

  • Primary Care Nurse Practitioner
  • Mount Ayr, IA
National Provider Identifier
1881448199
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
A178792 Issued in IA
Practice address
504 N Cleveland St
Mount Ayr, IA 50854-2203
Phone
(641) 464-4476
NPI assigned
Apr 15, 2024
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A178792 IA Primary

Addresses

Primary practice location

504 N Cleveland St
Mount Ayr, IA 50854-2203

Mailing address

504 N Cleveland St
Mount Ayr, IA 50854-2203

Other names 1

  • Kasandra Jane Simmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240603002573 IA Practitioner - Nurse Practitioner 8527500800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ringgold County HospitalGroup PAC ID 7315849973, shared by 4 NPIs, 32 clinicians

Practice addresses (Care Compare)

504 N Cleveland St
Mount Ayr, IA 50854-2201
Phone (641) 464-3226

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ringgold County Hospital CurrentSince May 1, 2024 Accepting new patients
Ringgold County Hospital Current Accepting new patients
Ringgold County Hospital Current Accepting new patients
Ringgold County Hospital CurrentSince May 1, 2024 Accepting new patients

Locations

504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1881448199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N CLEVELAND ST",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508542203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N CLEVELAND ST",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508542203",
            "telephone_number": "641-464-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGDON",
        "first_name": "KASANDRA",
        "middle_name": "JANE",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "A178792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASANDRA",
            "last_name": "SIMMONS",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Ayr, IA

Sources for this page

Verify at the official NPI Registry.