GINA HIGGINS APRN
NPI 1114110160
Nurse Practitioner - Psychiatric/Mental Health in New Britain, CT

Active since August 23, 2007PECOS EnrolledAccepts Medicare Assignment
90.97/100
CMS Quality Rating
85 LEXINGTON ST, NEW BRITAIN, CT 06052(860) 823-1399(860) 823-1170 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Aug 17, 2023, Mar 15, 2017 (3 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 New Britain, Connecticut, licensed in Connecticut (003645) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1114110160
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGINA HIGGINSCredential: APRN
Location Address85 LEXINGTON STNew Britain, CT 06052-1416
Mailing Address7 Mark Twain DrEast Hampton, CT 06424-1528 · (860) 237-7573 · Fax (860) 413-0825
Fax(860) 823-1170
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 23, 2007
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
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
85 LEXINGTON ST, New Britain, CT 06052

Secondary Practice Locations 2

Location 12261 Market St Ste 10222San Francisco, CA 94114-1612 · Phone (860) 237-7573 · Fax (860) 413-0825
Location 228 1/2 Case StNorwich, CT 06360-2223 · Phone (860) 823-1399 · Fax (860) 823-1170

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

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
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 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 06052 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 9

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

Social Worker (Clinical)
85 LEXINGTON ST
NEW BRITAIN, CT 06052
Counselor (Professional)
85 LEXINGTON ST
NEW BRITAIN, CT 06052
Counselor (Professional)
85 LEXINGTON ST
NEW BRITAIN, CT 06052
Counselor (Professional)
85 LEXINGTON ST
NEW BRITAIN, CT 06052
Social Worker (Clinical)
85 LEXINGTON ST
NEW BRITAIN, CT 06052
Marriage & Family Therapist
85 LEXINGTON ST
NEW BRITAIN, CT 06052
Social Worker (Clinical)
85 LEXINGTON ST
NEW BRITAIN, CT 06052
Counselor (Professional)
85 LEXINGTON ST
NEW BRITAIN, CT 06052

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 85 Lexington St, New Britain, CT 06052. The listed phone number is (860) 823-1399.

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.

What insurance does Gina Higgins accept?

Health plans from Providence Health Plan 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 December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.