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PATRICIA HIGGINS FNP-BC
NPI 1003915596
Nurse Practitioner - Family in Bogata, TX

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
250 MT. PLEASANT RD, BOGATA, TX 75417(903) 632-0111(903) 632-0292 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Nov 11, 2025, Apr 11, 2024 and 1 more (4 updates tracked since 2020).

About Patricia Higgins Fnp-bc NPPES

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

PATRICIA HIGGINS FNP-BC (NPI 1003915596) is an individual family provider in Bogata, Texas, licensed in Texas (AP108733) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Titus Regional Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1003915596
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICIA HIGGINSCredential: FNP-BC
Location Address250 MT. PLEASANT RDBogata, TX 75417
Mailing Address250 Mount Pleasant RdBogata, TX 75417-2769 · (903) 577-2273 · Fax (903) 632-0292
Phone(903) 632-0111
Fax(903) 632-0292
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 21, 2006
Last NPPES UpdateApril 27, 20264 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1003915596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · AP108733✔ Licensed in TX · 595120
Also ListedEmergency MedicineTaxonomy 207P00000X · License AP108733 (TX), 595120 (TX)
250 MT. PLEASANT RD, Bogata, TX 75417
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patricia Higgins Fnp-bc 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 ID2466430855
PECOS Enrollment IDI20040712001048
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Patricia Higgins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Titus County Hospital District
21 mi
Rural Health
801 HIGHWAY 37 S
Mount Vernon, TX 75457
  • Reassigned Medicare billing, Texas enrollment
  • 128 clinicians in this Medicare group
NPI 1659098770 (903) 537-4548
Christus Trinity Clinic Texas
77 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
Acs Primary Care Physicians Southwest, PA
113 mi
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
NPI 1538101019 (925) 924-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.
296 services173 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
176 services121 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.
123 services96 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
108 services24 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
64 services16 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
51 services39 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450080
Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County
Emergency services Birthing friendly

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75417 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers16 claims44 services$6.74 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,440 services$1.68 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$70.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers35 claims35 services$18.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers64 claims64 services$109.99 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$38.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Patricia Higgins's NPI number?

The NPI number for Patricia Higgins is 1003915596. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Patricia Higgins located?

Patricia Higgins practices at 250 Mt. Pleasant Rd, Bogata, TX 75417. The listed phone number is (903) 632-0111.

What is Patricia Higgins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Patricia Higgins enrolled in Medicare?

Yes. Patricia Higgins 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.

Which organizations bill Medicare for Patricia Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Higgins reassigns Medicare benefits to 3 organizations: Titus County Hospital District (Mount Vernon, TX), Christus Trinity Clinic Texas (Tyler, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Higgins accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Patricia Higgins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Patricia Higgins affiliated with any hospitals?

According to CMS data, Patricia Higgins is affiliated with Titus Regional Medical Center and Paris Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Patricia Higgins was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.