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MRS. ANDREA S. HIGGINBOTHAM CRNP
NPI 1003140971
Nurse Practitioner - Acute Care in San Diego, CA

Active since September 25, 2009PECOS EnrolledAccepts Medicare Assignment
13280 EVENING CREEK DR S STE 225, SAN DIEGO, CA 92128(877) 257-0637 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Andrea S. Higginbotham Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANDREA S. HIGGINBOTHAM CRNP (NPI 1003140971) is an individual acute care provider in San Diego, California, licensed in Alabama (1-105427) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1003140971
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. ANDREA S. HIGGINBOTHAMCredential: CRNP
Location Address13280 EVENING CREEK DR S STE 225San Diego, CA 92128-4664
Mailing Address13280 Evening Creek Dr S Ste 225San Diego, CA 92128-4664 · (205) 930-2456
Phone(877) 257-0637
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 25, 2009
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1003140971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-105427
13280 EVENING CREEK DR S STE 225, San Diego, CA 92128
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Other Names 1

Former Name (1)Miss Andrea S. Pitts Crnp

Secondary Practice Location 1

Location 150 Medical Park Dr EBirmingham, AL 35235-3401 · Phone (205) 930-2456

Other Identifiers 3

Other011846AL · Medicare Group Payee Number
Medicaid630000013AL
Other1063439065AL · Npi Site Group Payee Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Andrea S. Higginbotham Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254570708
PECOS Enrollment IDI20181205002035
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
524 services229 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
308 services60 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
43 services13 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
29 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MDWATCH CA, PC
General Practice
13280 EVENING CREEK DR S STE 225
SAN DIEGO, CA 92128
San Diego County (877) 257-0637
GINA RIGSBEE APRN
Nurse Practitioner (Family)
13280 EVENING CREEK DR S STE 225
SAN DIEGO, CA 92128
San Diego County (877) 257-0637
TERRI LEA RIDDIFORD MD
Family Medicine
13280 EVENING CREEK DR S STE 225
SAN DIEGO, CA 92128
San Diego County (937) 396-2880
MRS. CHRISTINE NGWAZINI DNP
Nurse Practitioner (Family)
13280 EVENING CREEK DR S STE 225
SAN DIEGO, CA 92128
San Diego County (909) 379-4260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Higginbotham's NPI number?

The NPI number for Andrea Higginbotham is 1003140971. It was assigned to this individual provider in the NPPES registry on September 25, 2009. The provider is also known as Miss Andrea S. Pitts Crnp.

Where is Andrea Higginbotham located?

Andrea Higginbotham practices at 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128. The listed phone number is (877) 257-0637.

What is Andrea Higginbotham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Andrea Higginbotham enrolled in Medicare?

Yes. Andrea Higginbotham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrea Higginbotham was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.