MICHELLE S. HIGGINS NP
NPI 1194755025
Nurse Practitioner - Family in Latham, NY

Q: What is Michelle Higgins's NPI number?

The NPI number for Michelle Higgins is 1194755025. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Michelle Higgins's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Higgins was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment

1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110(518) 348-3176 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Michelle S. Higgins Np NPPES

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

MICHELLE S. HIGGINS NP (NPI 1194755025) is an individual family provider in Latham, New York, licensed in New York (F332005) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and maintains a secondary practice location in Rhinebeck.

NPPES Registry Identity

NPI1194755025

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE S. HIGGINSCredential: NP

Location Address1205 TROY SCHENECTADY RD STE 101Latham, NY 12110-1074

Mailing Address69 South Broadway,geriatric Services,p.c.Yonkers, NY 10701-4004 · (914) 376-5555 · Fax (914) 376-0285

Phone(518) 348-3176

Sole ProprietorNo

Medical School CMSMarymount UniversityGraduated 1996

Enumeration DateJuly 4, 2006

Last NPPES UpdateJuly 20, 2020

NPPES CertifiedJuly 20, 2020

✔ NPI 1194755025 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 NY · F332005

1205 TROY SCHENECTADY RD STE 101, Latham, NY 12110

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Secondary Practice Location 1

Location 121 Ferncliff Drive,Ferncliff Nursing HomeRhinebeck, NY 12572-1900 · Phone (845) 876-2011

Other Identifiers 1

Medicaid02174596NY

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

Michelle S. Higgins Np 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 ID7810923802

PECOS Enrollment IDI20050712000047

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

Medicare enrollment records show Michelle Higgins reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Statline Medical PC

103 mi

Internal Medicine

3 SONOMA RD
Cortlandt Manor, NY 10567

Reassigned Medicare billing, New York enrollment
51 clinicians in this Medicare group

NPI 1942872759 (914) 215-4748

Genesis Medical Health PC

112 mi

General Practice

7 ARCADIAN DR
Spring Valley, NY 10977

Reassigned Medicare billing, New York enrollment
64 clinicians in this Medicare group

NPI 1295043099 (973) 580-0450

Nys Medical Associate PLLC

141 mi

Internal Medicine

65-11 BOOTH STREET, SUITE 1C
Rego Park, NY 11374

Reassigned Medicare billing, New York enrollment
79 clinicians in this Medicare group

NPI 1104268572 (718) 806-1434

Timothy Turbett MD PC

616 mi

Family Medicine

211 MILTON BROWN HEIRS RD
Boone, NC 28607

Reassigned Medicare billing, New York enrollment
10 clinicians in this Medicare group

NPI 1750042958 (254) 230-8511

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 3

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 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.

1,459 services183 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.

1,130 services131 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330126

Location707 East Main StreetMiddletown, NY 10940 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

LAUREN M CABANA PA

Physician Assistant