TAMMY HIGGINS CRNA
NPI 1427235316
Nurse Anesthetist, Certified Registered in Danville, KY

Active since January 23, 2008PECOS EnrolledAccepts Medicare Assignment
79.11/100
CMS Quality Rating
217 S 3RD ST, DANVILLE, KY 40422(859) 236-3726 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tammy Higgins Crna NPPES

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

TAMMY HIGGINS CRNA (NPI 1427235316) is an individual nurse anesthetist, certified registered in Danville, Kentucky, licensed in Kentucky (45455) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1427235316
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTAMMY HIGGINSCredential: CRNA
Location Address217 S 3RD STDanville, KY 40422-1823
Mailing Address223 Executive ParkLouisville, KY 40207-4202 · (502) 907-0356 · Fax (502) 919-9780
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 23, 2008
Last NPPES UpdateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1427235316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KY · 45455
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
217 S 3RD ST, Danville, KY 40422

Secondary Practice Locations 3

Location 1230 W Main St Ste 400Danville, KY 40422-1875 · Phone (859) 236-3726 · Fax (859) 236-3019
Location 23480 Yorkshire Medical ParkLexington, KY 40509-1886 · Phone (859) 236-3726 · Fax (859) 236-3019
Location 32353 Alexandria Dr Ste 350Lexington, KY 40504-3208 · Phone (859) 236-3726 · Fax (859) 236-3019

Other Identifiers 1

Medicaid7100053920KY

Accepted 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

Tammy Higgins Crna 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 ID9931260288
PECOS Enrollment IDI20081205000294
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

6

Medicare enrollment records show Tammy Higgins reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
109 DANIEL DR
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 247 clinicians in this Medicare group
Anesthesiology
230 W MAIN ST
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 55 clinicians in this Medicare group
Anesthesiology
1740 NICHOLASVILLE RD
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Central Kentucky Anesthesia P.S.C.
  • 117 clinicians in this Medicare group
Anesthesiology
1140 LEXINGTON ROAD
Georgetown, KY 40324
  • Reassigned Medicare billing, Kentucky enrollment
  • 115 clinicians in this Medicare group
Anesthesiology
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky enrollment
  • 137 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Kentucky enrollment
  • 158 clinicians in this Medicare group

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 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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
25 services25 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

79.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.52
Promoting Interoperability100
Improvement Activities40
Cost44.23

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.

Pathology (Anatomic Pathology & Clinical Pathology)
217 S 3RD ST
DANVILLE, KY 40422
Nurse Practitioner (Family)
217 S 3RD ST
DANVILLE, KY 40422
Pharmacist
217 S 3RD ST, PHARMACY
DANVILLE, KY 40422
Nurse Anesthetist, Certified Registered
217 S 3RD ST
DANVILLE, KY 40422
Nurse Practitioner (Acute Care)
217 S 3RD ST
DANVILLE, KY 40422
Emergency Medicine
217 S 3RD ST
DANVILLE, KY 40422
Pathology (Anatomic Pathology & Clinical Pathology)
217 S 3RD ST
DANVILLE, KY 40422
Emergency Medicine
217 S 3RD ST
DANVILLE, KY 40422

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 Tammy Higgins's NPI number?

The NPI number for Tammy Higgins is 1427235316. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Tammy Higgins located?

Tammy Higgins practices at 217 S 3rd St, Danville, KY 40422. The listed phone number is (859) 236-3726.

What is Tammy Higgins's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Tammy Higgins enrolled in Medicare?

Yes. Tammy 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 Tammy Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Higgins reassigns Medicare benefits to 6 organizations: Ephraim Mcdowell Health Resource, Inc. (Danville, KY), Danville Anesthesia Associates, LLP (Danville, KY), Central Kentucky Anesthesia Psc (Lexington, KY), Kentucky Anesthesia Group, Psc (Georgetown, KY), Ad Of Kentucky PLLC (Owensboro, KY) and 1 more organization, listed in the Medicare section above. 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 Tammy Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tammy Higgins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Tammy 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 Tammy Higgins affiliated with any hospitals?

According to CMS data, Tammy Higgins is affiliated with Ephraim Mcdowell Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tammy Higgins was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.