LEAH HIGGINS PA-C
NPI 1376538330
Physician Assistant in Rehoboth Beach, DE

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
19161 HEALTHY WAY UNIT 100, REHOBOTH BEACH, DE 19971(302) 645-3010(855) 562-2315 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2026, Apr 12, 2017, Mar 23, 2017 (3 updates tracked since 2017).

About Leah Higgins Pa-c NPPES

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

LEAH HIGGINS PA-C (NPI 1376538330) is an individual physician assistant in Rehoboth Beach, Delaware, licensed in Delaware (C5-0000692) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1376538330
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLEAH HIGGINSCredential: PA-C
Location Address19161 HEALTHY WAY UNIT 100Rehoboth Beach, DE 19971-4491
Mailing Address1515 Savannah Rd Fl 2Lewes, DE 19958-1675 · (302) 645-3499 · Fax (302) 644-4830
Fax(855) 562-2315
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 15, 2005
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
NPI 1376538330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in DE · C5-0000692
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License C5-0000692 (DE), C0004279 (MD)
19161 HEALTHY WAY UNIT 100, Rehoboth Beach, DE 19971

Secondary Practice Locations 4

Location 123900 Milton Ellendale HwyMilton, DE 19968-2714 · Phone (302) 684-5635 · Fax (833) 972-5096
Location 228538 DuPont BlvdMillsboro, DE 19966-4791 · Phone (302) 934-5052 · Fax (888) 987-4109
Location 321635 Biden AveGeorgetown, DE 19947-4574 · Phone (302) 856-9729 · Fax (855) 698-5941
Location 432550 Docs Pl Unit 1Millville, DE 19967-6975 · Phone (302) 541-4175 · Fax (888) 987-4166

Other Identifiers 3

Other057916PA · Blue Care
Other50076565PA · Capital Blue Cross
Other970023109PA · Railroad Medicare

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

Leah 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 ID1052371812
PECOS Enrollment IDI20101011000453
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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
399 services365 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
64 services57 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
55 services54 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services36 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
28 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19971 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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 7

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

Physician Assistant
19161 HEALTHY WAY UNIT 100
REHOBOTH BEACH, DE 19971
Nurse Practitioner
19161 HEALTHY WAY UNIT 100
REHOBOTH BEACH, DE 19971
Physician Assistant
19161 HEALTHY WAY UNIT 100
REHOBOTH BEACH, DE 19971
Nurse Practitioner
19161 HEALTHY WAY UNIT 100
REHOBOTH BEACH, DE 19971
Nurse Practitioner
19161 HEALTHY WAY UNIT 100
REHOBOTH BEACH, DE 19971
Emergency Medicine
19161 HEALTHY WAY UNIT 100
REHOBOTH BEACH, DE 19971
Nurse Practitioner (Family)
19161 HEALTHY WAY UNIT 100
REHOBOTH BEACH, DE 19971

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 Leah Higgins's NPI number?

The NPI number for Leah Higgins is 1376538330. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Leah Higgins located?

Leah Higgins practices at 19161 Healthy Way Unit 100, Rehoboth Beach, DE 19971. The listed phone number is (302) 645-3010.

What is Leah Higgins's specialty?

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

Is Leah Higgins enrolled in Medicare?

Yes. Leah 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 Leah 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 list Leah 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.

When was this NPI record last updated?

The NPPES record for Leah Higgins was last updated on May 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.