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NICOLE ELIZABETH HIGGINS APRN
NPI 1396336699
Nurse Practitioner in Brunswick, ME

Active since January 29, 2021PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
22 STATION AVE, BRUNSWICK, ME 04011(207) 373-6000 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2024, Dec 2, 2022, Dec 15, 2021 and 4 more (7 updates tracked since 2021).

About Nicole Elizabeth Higgins Aprn NPPES

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

NICOLE ELIZABETH HIGGINS APRN (NPI 1396336699) is an individual nurse practitioner in Brunswick, Maine, licensed in Maine (CNP211044) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Mid Coast Hospital, and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1396336699
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE ELIZABETH HIGGINSCredential: APRN
Location Address22 STATION AVEBrunswick, ME 04011-2092
Mailing Address5 Leonards WayWindham, ME 04062-6004 · (774) 222-5732
Phone(207) 373-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 29, 2021
Last NPPES UpdateApril 16, 20247 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1396336699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ME · CNP211044
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN77336 (ME)
22 STATION AVE, Brunswick, ME 04011
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Elizabeth Dion

Secondary Practice Location 1

Location 191 Campus AveLewiston, ME 04240-6030 · Phone (207) 777-8120 · Fax (207) 777-8984

Accepted Insurance

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

Nicole Elizabeth 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 ID7517361850
PECOS Enrollment IDI20210809000646
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 4

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.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
87 services20 patients
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.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

AMANDA BUBAR
Nurse Practitioner (Family)
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (207) 373-6800
DAVID WALLSTROM PA-C
Physician Assistant (Medical)
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (207) 406-7500
MS. JENNIFER NICOLE SOPKO PA-C
Physician Assistant (Medical)
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (207) 406-7500
ALLAN JAY KAPLAN MD
Family Medicine
22 STATION AVE, SUITE 101
BRUNSWICK, ME 04011
Cumberland County (207) 373-6848
MS. KAREN JOAN LUDWIG FNP
Nurse Practitioner (Family)
22 STATION AVE, SUITE 101
BRUNSWICK, ME 04011
Cumberland County (207) 373-6848
DR. ELLEN LYMAN LEE MD
Family Medicine
22 STATION AVE, SUITE 101
BRUNSWICK, ME 04011
Cumberland County (207) 373-6848
NATALIE DEWALT FNP-C
Nurse Practitioner (Family)
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (864) 940-7783
DR. ANNMARIE R LATTANZI MD
Emergency Medicine
22 STATION AVE
BRUNSWICK, ME 04011
Cumberland County (207) 406-7500

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 Nicole Higgins's NPI number?

The NPI number for Nicole Higgins is 1396336699. It was assigned to this individual provider in the NPPES registry on January 29, 2021. The provider is also known as Nicole Elizabeth Dion.

Where is Nicole Higgins located?

Nicole Higgins practices at 22 Station Ave, Brunswick, ME 04011. The listed phone number is (207) 373-6000.

What is Nicole Higgins's specialty?

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

Is Nicole Higgins enrolled in Medicare?

Yes. Nicole 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 Nicole Higgins accept?

Health plans from WellSense Health Plan list Nicole 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 Nicole Higgins affiliated with any hospitals?

According to CMS data, Nicole Higgins is affiliated with Mid Coast Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Higgins was last updated on April 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.