DAVID HIGGINS APRN
NPI 1205585551
Nurse Practitioner - Adult Health in Chillicothe, OH

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
4457 STATE ROUTE 159, CHILLICOTHE, OH 45601(740) 779-7813(740) 779-7488 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About David Higgins Aprn NPPES

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

DAVID HIGGINS APRN (NPI 1205585551) is an individual adult health provider in Chillicothe, Ohio, licensed in Ohio (APRN.CNP.0031529) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205585551
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDAVID HIGGINSCredential: APRN
Location Address4457 STATE ROUTE 159Chillicothe, OH 45601-8620
Mailing Address4457 State Route 159Chillicothe, OH 45601-8620 · (740) 779-7813 · Fax (740) 779-7488
Fax(740) 779-7488
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1205585551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · APRN.CNP.0031529
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.485368 (OH)
4457 STATE ROUTE 159, Chillicothe, OH 45601

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

David 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 ID2365824901
PECOS Enrollment IDI20220729000912
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.

Hospital Affiliations CMS Care Compare 2

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Adena Pike Medical Center

Critical Access Hospitals · Waverly, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361334
Location100 Dawn LaneWaverly, OH 45690 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 9

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

Nurse Practitioner (Family)
4457 STATE ROUTE 159
CHILLICOTHE, OH 45601
Orthopaedic Surgery
4457 STATE ROUTE 159
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
4457 STATE ROUTE 159
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
4457 STATE ROUTE 159
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
4457 STATE ROUTE 159
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
4457 STATE ROUTE 159
CHILLICOTHE, OH 45601
Family Medicine
4457 STATE ROUTE 159
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
4457 STATE ROUTE 159
CHILLICOTHE, OH 45601

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 David Higgins's NPI number?

The NPI number for David Higgins is 1205585551. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is David Higgins located?

David Higgins practices at 4457 State Route 159, Chillicothe, OH 45601. The listed phone number is (740) 779-7813.

What is David Higgins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is David Higgins enrolled in Medicare?

Yes. David 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 David Higgins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list David 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.

Is David Higgins affiliated with any hospitals?

According to CMS data, David Higgins is affiliated with Adena Regional Medical Center and Adena Pike Medical Center.

When was this NPI record last updated?

The NPPES record for David Higgins was last updated on August 17, 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.