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

Q: 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.

Q: What is Nicole Higgins's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Higgins was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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: October 18, 2026.

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

On this page

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Higgins reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bluewater Emergency Partners Of Brunswick, LLC

0.6 mi

Emergency Medicine

14 MAINE ST STE 306
Brunswick, ME 04011

Reassigned Medicare billing, Maine enrollment
170 clinicians in this Medicare group

NPI 1043640204 (207) 725-9065

Mainehealth

3.8 mi

Multi-Specialty

123 MEDICAL CENTER DR
Brunswick, ME 04011

Reassigned Medicare billing, Maine enrollment
3,140 clinicians in this Medicare group

NPI 1902422561 (207) 729-0181

St. Mary's Regional Medical Center

18 mi

General Acute Care Hospital

93 CAMPUS AVE
Lewiston, ME 04240

Reassigned Medicare billing, Maine enrollment
Medicare enrollment name: St Marys Regional Medical Center
381 clinicians in this Medicare group

NPI 1447226584 (207) 777-8100

Snf Wound Care

2,657 mi

Internal Medicine

11270 EXPOSITION BLVD FL 1, BOX: 641519
Los Angeles, CA 90064

Reassigned Medicare billing, Maine enrollment

NPI 1114393311 (833) 379-6863

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

86.13

Promoting Interoperability

100

Improvement Activities

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.

Which organizations bill Medicare for Nicole Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Higgins reassigns Medicare benefits to 4 organizations: Bluewater Emergency Partners Of Brunswick, LLC (Brunswick, ME), Mainehealth (Brunswick, ME), St. Mary's Regional Medical Center (Lewiston, ME) and Snf Wound Care (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.