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KELLY JEAN HIGGINS PA-C
NPI 1336459635
Physician Assistant in Duluth, MN

Active since October 20, 2010PECOS EnrolledAccepts Medicare Assignment
920 E 1ST ST, STE. P201, DULUTH, MN 55805(218) 249-7970(218) 249-7997 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2023, Nov 1, 2023 (2 updates tracked since 2023).

About Kelly Jean Higgins Pa-c NPPES

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

KELLY JEAN HIGGINS PA-C (NPI 1336459635) is an individual physician assistant in Duluth, Minnesota, licensed in Minnesota (10863) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1336459635
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY JEAN HIGGINSCredential: PA-C
Location Address920 E 1ST ST, STE. P201Duluth, MN 55805-2201
Mailing Address920 E 1st St, Ste. P201Duluth, MN 55805-2201 · (218) 249-7970 · Fax (218) 249-7997
Phone(218) 249-7970
Fax(218) 249-7997
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 20, 2010
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1336459635 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 MN · 10863
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.
920 E 1ST ST, Duluth, MN 55805
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Other Names 1

Former Name (1)Kelly Jean Higgins Kleven Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Kelly Jean Higgins Pa-c 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 ID749463909
PECOS Enrollment IDI20110324000931
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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Rainy Lake Medical Center

Critical Access Hospitals · International Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241322
Location1400 Highway 71International Falls, MN 56649 · Koochiching County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

DR. JOSEPH J MARTINELLI MD
Internal Medicine (Pulmonary Disease)
920 E 1ST ST, STE P201
DULUTH, MN 55805
St. Louis County (218) 249-7970
ST. LUKE'S HOSPITAL OF DULUTH
Otolaryngology
920 E 1ST ST, STE. 301
DULUTH, MN 55805
St. Louis County (218) 279-6279
STEPHEN JAMES HUDDLESTON MD
Surgery
920 E 1ST ST, STE. P303
DULUTH, MN 55805
St. Louis County (218) 249-6050
MS. SARAH E SLOAN AU.D.
Audiologist
920 E 1ST ST, SUITE 301
DULUTH, MN 55805
St. Louis County (218) 279-6279
DR. MARK A MONTE MD
Surgery
920 E 1ST ST, STE P302
DULUTH, MN 55805
St. Louis County (218) 249-6050
ST. LUKE'S HOSPITAL OF DULUTH
Allergy & Immunology
920 E 1ST ST, STE 201
DULUTH, MN 55805
St. Louis County (218) 249-7920
ABIGAIL FRANCES BUSHEY PA-C
Physician Assistant
920 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-7555
WAYNE WILLIAM HOUGAS
Audiologist
920 E 1ST ST, SUITE 301
DULUTH, MN 55805
St. Louis County (218) 279-6279

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 Kelly Higgins's NPI number?

The NPI number for Kelly Higgins is 1336459635. It was assigned to this individual provider in the NPPES registry on October 20, 2010. The provider is also known as Kelly Jean Higgins Kleven Pa-C.

Where is Kelly Higgins located?

Kelly Higgins practices at 920 E 1st St Ste. P201, Duluth, MN 55805. The listed phone number is (218) 249-7970.

What is Kelly Higgins's specialty?

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

Is Kelly Higgins enrolled in Medicare?

Yes. Kelly 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 Kelly Higgins accept?

Health plans from Medica and Sanford Health Plan list Kelly 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 Kelly Higgins affiliated with any hospitals?

According to CMS data, Kelly Higgins is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, St Lukes Hospital, Essentia Health Virginia and Rainy Lake Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Higgins was last updated on November 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.