SHANE M HIGGINS PA
NPI 1316922396
Physician Assistant in Nevada, IA

Q: What is Shane Higgins's NPI number?

The NPI number for Shane Higgins is 1316922396. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Q: What is Shane Higgins's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Higgins was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 December 13, 2005PECOS EnrolledAccepts Medicare Assignment

640 S 19TH ST STE 100, NEVADA, IA 50201(515) 382-5413(515) 382-7107 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Jul 11, 2018, Jun 19, 2017 (3 updates tracked since 2017).

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About Shane M Higgins Pa NPPES

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

SHANE M HIGGINS PA (NPI 1316922396) is an individual physician assistant in Nevada, Iowa, licensed in Iowa (001492) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Greeley Medical Center, and maintains a secondary practice location in Nevada.

NPPES Registry Identity

NPI1316922396

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSHANE M HIGGINSCredential: PA

Location Address640 S 19TH ST STE 100Nevada, IA 50201

Mailing Address640 S 19th St Ste 100Nevada, IA 50201-2902 · (515) 382-5413 · Fax (515) 382-7107

Phone(515) 382-5413

Fax(515) 382-7107

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateDecember 13, 2005

Last NPPES UpdateMay 7, 20263 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1316922396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IA · 001492

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

640 S 19TH ST STE 100, Nevada, IA 50201

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Secondary Practice Location 1

Location 1640 S 19th StNevada, IA 50201-2902 · Phone (515) 382-2111 · Fax (515) 382-7760

Other Identifiers 2

OtherP00709212Rr Medicare

OtherDA1548Rr Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Shane M Higgins Pa 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 ID4183792237

PECOS Enrollment IDI20081002000670

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.

Mary Greeley Medical Center

Acute Care Hospitals · Ames, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160030

Location1111 Duff AvenueAmes, IA 50010 · Story County

Emergency services Birthing friendly

Story County Hospital

Critical Access Hospitals · Nevada, IA

OwnershipGovernment - Local

CMS Certification Number161333

Location640 South 19th StreetNevada, IA 50201 · Story County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50201 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$208.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

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