Active NPI
Lynn Higgins, PAC
- Medical Physician Assistant
- Brookfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2672
- Practice address
- 31 Old Route 7
Brookfield, CT 06804-1711 - Phone
- (203) 885-0808
- Fax
- (203) 885-0813
- NPI assigned
- May 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002418 | NY | |
| Medical Physician Assistant | 363AM0700X | 2672 | CT | Primary |
Addresses
Primary practice location
31 Old Route 7
Brookfield, CT 06804-1711
Mailing address
2570 Route 9W
Suite 10
Cornwall, NY 12518-1323
Phone (845) 220-3100
Other practice location 1
147 Lake St
Newburgh, NY 12550-5263
Phone (845) 563-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01500494 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
266 S Main St
Newtown, CT 06470-6706
Phone (860) 650-3848
80 Route 6
Suite 704 705
Baldwin Place, NY 10505-1026
Phone (860) 650-3848
900 Main St S
Suite 100
Southbury, CT 06488-4213
Phone (860) 650-3848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002418 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Family Healthcare | Current | Accepting new patients | |
| WRK Ventures, LLC | Past | Accepting new patients | |
| Fishkill Pharmacy LLC | Past | Accepting new patients | |
| Hudson Valley Emergency Medicine PLLC | Past | Accepting new patients |
Locations
2570 US Highway 9W
Ste 10
Cornwall, NY 12518
Phone (845) 220-3100
147 Lake St
Newburgh, NY 12550
Phone (845) 416-4325
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Brookfield, CT
- NPI 1730479254
-
- Urgent Care Clinic/Center
- Baldwin Place, NY
- NPI 1154866879
-
- Urgent Care Clinic/Center
- Howard Beach, NY
- NPI 1235434036
-
- Urgent Care Clinic/Center
- Yonkers, NY
- NPI 1235413477
-
- Federally Qualified Health Center (FQHC)
- Newburgh, NY
- NPI 1689669079
-
- Urgent Care Clinic/Center
- Southbury, CT
- NPI 1194993980
-
- Community/Retail Pharmacy
- Fishkill, NY
- NPI 1427308188
-
- General Practice Physician
- Poughkeepsie, NY
- NPI 1093746505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1922053677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 ROUTE 9W",
"address_2": "SUITE 10",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181323",
"telephone_number": "845-220-3100",
"fax_number": "845-534-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 OLD ROUTE 7",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068041711",
"telephone_number": "203-885-0808",
"fax_number": "203-885-0813"
}
],
"practiceLocations": [
{
"address_1": "147 Lake St",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "NY",
"postal_code": "125505263",
"country_code": "US",
"telephone_number": "845-563-8000",
"fax_number": "845-534-2940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIGGINS",
"first_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002418",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "2672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01500494",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.
- 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.