Deborah Ann Higer

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

G72167 Issued in CA

Legal business name

DEBORAH ANN HIGER

Doing business as

Shasta Family Care

Practice address

725 Pine St
Mount Shasta, CA 96067-2133

Phone

(530) 926-4556

Fax

(530) 926-4532

NPI assigned

Nov 3, 2011

Last updated

Dec 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Ann Higer, MDNPI 1437245701

Title

Owner

Phone

(530) 926-4556

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shasta Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902183098. Details of each certification follow.

• CCN 058966 Rural health clinic · Active · Details

Rural health clinic certification: CCN 058966

Legal name

DEBORAH ANN HIGER

Doing business as

SHASTA FAMILY CARE

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Apr 18, 2012

Last certification

Aug 21, 2019

Ownership / control type

1A

Organization structure

Sole ProprietorProprietary

Enrollment address

725 Pine St
Mt Shasta, CA 96067-2133

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Deborah Ann Higer

  • Family Medicine Physician
  • Mount Shasta, CA
  • NPI 1437245701

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Ann Higer

  • Family Medicine Physician
  • Mount Shasta, CA
  • NPI 1437245701
  NPD Authorized official
• Rebecca S Boehme, RN FNP

  • Primary Care Nurse Practitioner
  • Mount Shasta, CA
  • NPI 1477636058
  NPD (past)
• Roberta G Belich, PA-C

  • Physician Assistant
  • Klamath Falls, OR
  • NPI 1871877506
  NPD (past)
• Jill Tracey Schenk, MD

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1770594475
  NPD (past)
• Cecily Helen Shaw-Scala, FNP C

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1447235585
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1902183098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672133",
            "telephone_number": "530-926-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672133",
            "telephone_number": "530-926-4556",
            "fax_number": "530-926-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH ANN HIGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "HIGER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-926-4556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "G72167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G721670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Vu Cao Dang
• Jennifer Daniell Pentrack, PT
• Lynn Ngoc Dao
• Sara Davis
• Ana Lisa De la Fuente
• Ashley Denise Delaney, DO
• Deanna Maria Deleon, LPCC
• Dignity Health (Mercy Medical Center Mt Shasta DP SNF)
• Dignity Health (Mercy Medical Center Mt. Shasta Physicians)
• Dignity Health (Mercy Medical Center Mt. Shasta)

• Family Health Clinical Nurse Specialist in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Family Health Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.