SANDRA HIGHAM ARNP
NPI 1093174807
Nurse Practitioner - Family in Tallahassee, FL

Active since February 22, 2016PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
1609 MEDICAL DR, TALLAHASSEE, FL 32308(850) 431-5440(850) 431-6322 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2026, Mar 28, 2016, Feb 22, 2016 (3 updates tracked since 2016).

About Sandra Higham Arnp NPPES

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

SANDRA HIGHAM ARNP (NPI 1093174807) is an individual family provider in Tallahassee, Florida, licensed in Florida (9186257) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093174807
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA HIGHAMCredential: ARNP
Location Address1609 MEDICAL DRTallahassee, FL 32308-4617
Mailing Address1609 Medical DrTallahassee, FL 32308-4617 · (850) 431-5440 · Fax (850) 431-6322
Fax(850) 431-6322
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 22, 2016
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1093174807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · 9186257
1609 MEDICAL DR, Tallahassee, FL 32308

Accepted Insurance

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

Sandra Higham Arnp 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 ID6002115557
PECOS Enrollment IDI20160504001646
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 4

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
186 services52 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
111 services57 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
70 services43 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Speech-Language Pathologist
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Speech-Language Pathologist
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Occupational Therapy Assistant
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Speech-Language Pathologist
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Family Medicine
1609 MEDICAL DR, REHABILITATION CENTER
TALLAHASSEE, FL 32308
Skilled Nursing Facility
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Occupational Therapist
1609 MEDICAL DR
TALLAHASSEE, FL 32308
Dietitian, Registered
1609 MEDICAL DR
TALLAHASSEE, FL 32308

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 Sandra Higham's NPI number?

The NPI number for Sandra Higham is 1093174807. It was assigned to this individual provider in the NPPES registry on February 22, 2016.

Where is Sandra Higham located?

Sandra Higham practices at 1609 Medical Dr, Tallahassee, FL 32308. The listed phone number is (850) 431-5440.

What is Sandra Higham's specialty?

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

Is Sandra Higham enrolled in Medicare?

Yes. Sandra Higham 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.

What insurance does Sandra Higham accept?

Health plans from Ambetter Health, Ambetter of Alabama and UnitedHealthcare list Sandra Higham 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.

When was this NPI record last updated?

The NPPES record for Sandra Higham was last updated on March 4, 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.