ASHLEY NICOLE HIGDON
NPI 1194318766
Nurse Practitioner - Gerontology in Louisville, KY

Active since February 15, 2021PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
401 E CHESTNUT ST UNIT 710, LOUISVILLE, KY 40202(502) 583-8303 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2023, Mar 16, 2021, Feb 15, 2021 (3 updates tracked since 2021).

About Ashley Nicole Higdon NPPES

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

ASHLEY NICOLE HIGDON (NPI 1194318766) is an individual gerontology provider in Louisville, Kentucky, licensed in Kentucky (3015915) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194318766
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameASHLEY NICOLE HIGDON
Location Address401 E CHESTNUT ST UNIT 710Louisville, KY 40202-5707
Mailing Address3900 Kresge Way Ste 51Louisville, KY 40207-4683 · (502) 259-5955
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 15, 2021
Last NPPES UpdateJanuary 6, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
✔ NPI 1194318766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in KY · 3015915
Also ListedNeurological SurgeryTaxonomy 207T00000X · License 1116303 (KY)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 3015915 (KY)
401 E CHESTNUT ST UNIT 710, Louisville, KY 40202

Other Identifiers 1

Medicaid7100729660KY

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

Ashley Nicole Higdon 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 ID7315353505
PECOS Enrollment IDI20210312002305
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

2

Medicare enrollment records show Ashley Higdon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Psychiatry
401 E CHESTNUT ST, SUITE 610
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
Family Medicine
3516 E 10TH ST
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,441 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.

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
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.

Nurse Practitioner
401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY 40202
Surgery (Surgical Oncology)
401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY 40202
Surgery (Plastic and Reconstructive Surgery)
401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY 40202
Colon & Rectal Surgery
401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY 40202
Surgery (Trauma Surgery)
401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY 40202
Surgery
401 E CHESTNUT ST UNIT 710
LOUISVILLE, KY 40202

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 Ashley Higdon's NPI number?

The NPI number for Ashley Higdon is 1194318766. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Ashley Higdon located?

Ashley Higdon practices at 401 E Chestnut St Unit 710, Louisville, KY 40202. The listed phone number is (502) 583-8303.

What is Ashley Higdon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ashley Higdon enrolled in Medicare?

Yes. Ashley Higdon 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 Ashley Higdon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Higdon reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Baptist Health Medical Group, Inc. (Jeffersonville, IN). 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 Ashley Higdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Higdon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Ashley Higdon 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 Ashley Higdon affiliated with any hospitals?

According to CMS data, Ashley Higdon is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Ashley Higdon was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.