Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GINA HIGGINS APRN
NPI 1114110160
Nurse Practitioner - Psychiatric/Mental Health in Holyoke, MA

Active since August 23, 2007PECOS EnrolledAccepts Medicare Assignment
90.97/100
CMS Quality Rating
1233 MAIN ST, HOLYOKE, MA 01040(413) 701-2600(413) 966-5624 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Dec 9, 2025, Aug 17, 2023 and 1 more (4 updates tracked since 2017).

About Gina Higgins Aprn NPPES

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

GINA HIGGINS APRN (NPI 1114110160) is an individual psychiatric/mental health provider in Holyoke, Massachusetts, licensed in Connecticut (003645) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1114110160
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGINA HIGGINSCredential: APRN
Location Address1233 MAIN STHolyoke, MA 01040-5381
Mailing Address1233 Main StHolyoke, MA 01040-5381 · (413) 701-2600 · Fax (413) 966-5624
Fax(413) 966-5624
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 23, 2007
Last NPPES UpdateOctober 8, 20264 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1114110160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CT · 003645✔ Licensed in ME · CNP181022
1233 MAIN ST, Holyoke, MA 01040

Accepted 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

Gina Higgins Aprn 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 ID3577656503
PECOS Enrollment IDI20070907000404, I20260519002333
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

5

Medicare enrollment records show Gina Higgins reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
1233 MAIN ST
Holyoke, MA 01040
  • Reassigned Medicare billing, Massachusetts enrollment
  • 77 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
896 ASYLUM AVE
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1295980787 (Connecticut)
  • 21 clinicians in this Medicare group
Primary Care
281 MAIN STREET
East Hartford, CT 06118
  • Reassigned Medicare billing, Connecticut enrollment
  • 78 clinicians in this Medicare group
Adult Mental Health
401 WEST THAMES STREET, BUILDING 301
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 57 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
41 FAIR HARBOUR PL
New London, CT 06320
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Connecticut Behavioral Health Assoc PC
  • 47 clinicians in this Medicare group

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 2

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 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.
21 services11 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

90.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.95
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
1233 MAIN ST
HOLYOKE, MA 01040
Physician Assistant
1233 MAIN ST
HOLYOKE, MA 01040
Licensed Practical Nurse
1233 MAIN ST
HOLYOKE, MA 01040
Counselor (Mental Health)
1233 MAIN ST
HOLYOKE, MA 01040
Nurse Practitioner (Psychiatric/Mental Health)
1233 MAIN ST
HOLYOKE, MA 01040
Counselor (Mental Health)
1233 MAIN ST
HOLYOKE, MA 01040
Counselor (Mental Health)
1233 MAIN ST
HOLYOKE, MA 01040
Registered Nurse
1233 MAIN ST
HOLYOKE, MA 01040

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 Gina Higgins's NPI number?

The NPI number for Gina Higgins is 1114110160. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Gina Higgins located?

Gina Higgins practices at 1233 Main St, Holyoke, MA 01040. The listed phone number is (413) 701-2600.

What is Gina Higgins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gina Higgins enrolled in Medicare?

Yes. Gina 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 Gina Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Higgins reassigns Medicare benefits to 5 organizations: Holyoke Capital Jv, LLC (Holyoke, MA), Catholic Charities, Inc. - Archdiocese Of Hartford (Hartford, CT), Intercommunity, Inc. (East Hartford, CT), State Of Connecticut (Norwich, CT) and Connecticut Behavioral Health Assoc, P.C. (New London, CT). 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 Gina Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Higgins accept?

Health plans from Anthem Blue Cross and Blue Shield list Gina 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.

When was this NPI record last updated?

The NPPES record for Gina Higgins was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.