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RACHEL HIGGINS
NPI 1336695428
Nurse Practitioner in Centerville, IA

Active since August 29, 2016PECOS EnrolledAccepts Medicare Assignment
19942 SAINT JOSEPH DR, CENTERVILLE, IA 52544(641) 856-8684 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2019, Aug 29, 2016 (2 updates tracked since 2016).

About Rachel Higgins NPPES

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

RACHEL HIGGINS (NPI 1336695428) is an individual nurse practitioner in Centerville, Iowa, licensed in Iowa (A133726) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336695428
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHEL HIGGINS
Location Address19942 SAINT JOSEPH DRCenterville, IA 52544-8849
Mailing Address19876 Saint Joseph DrCenterville, IA 52544-8850 · (641) 856-8684
Phone(641) 856-8684
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 29, 2016
Last NPPES UpdateFebruary 14, 20192 updates tracked since enumeration
✔ NPI 1336695428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · A133726
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
19942 SAINT JOSEPH DR, Centerville, IA 52544
Open in Google Maps ↗

Other Identifiers 2

OtherA133726IA · License
Other133726License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Rachel Higgins 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 ID5597048090
PECOS Enrollment IDI20170207002795
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 4

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Monroe County Hospital

Critical Access Hospitals · Albia, IA
OwnershipGovernment - Local
CMS Certification Number161342
Location6580 165th StreetAlbia, IA 52531 · Monroe County
Emergency services

Wayne County Hospital

Critical Access Hospitals · Corydon, IA
OwnershipGovernment - Local
CMS Certification Number161358
Location417 South East StreetCorydon, IA 50060 · Wayne County
Emergency services

Mercyone Centerville Medical Center

Critical Access Hospitals · Centerville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161377
LocationOne St Joseph's DriveCenterville, IA 52544 · Appanoose County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52544 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
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $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.

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers21 claims21 services$49.03 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 6

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

JACQUELYN STAJCAR
Nurse Practitioner (Family)
19942 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Appanoose County (641) 856-8684
PAIGE HOUSER ARNP
Nurse Practitioner
19942 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Appanoose County (641) 856-8684
CASSIE PARRISH ARNP
Nurse Practitioner (Adult Health)
19942 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Appanoose County (641) 437-4111
DAVID B FRASER MD
Family Medicine
19942 SAINT JOSEPH DR, CENTERVILLE MEDICAL CLINIC
CENTERVILLE, IA 52544
Appanoose County (641) 856-8684
NANCY BARTON MD
Family Medicine
19942 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Appanoose County (641) 856-8684
MR. RYAN D ARNEVIK DO
Family Medicine
19942 SAINT JOSEPH DR
CENTERVILLE, IA 52544
Appanoose County (641) 856-8684

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 Rachel Higgins's NPI number?

The NPI number for Rachel Higgins is 1336695428. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Rachel Higgins located?

Rachel Higgins practices at 19942 Saint Joseph Dr, Centerville, IA 52544. The listed phone number is (641) 856-8684.

What is Rachel Higgins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachel Higgins enrolled in Medicare?

Yes. Rachel 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 Rachel Higgins accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Rachel 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 Rachel Higgins affiliated with any hospitals?

According to CMS data, Rachel Higgins is affiliated with Mercyone Des Moines Medical Center, Monroe County Hospital, Wayne County Hospital and Mercyone Centerville Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Higgins was last updated on February 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.