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DAWN M HIGGINS ARNP
NPI 1487632287
Nurse Practitioner in Waterloo, IA

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
1717 W RIDGEWAY AVE, WATERLOO, IA 50701(319) 833-5700(319) 833-5740 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dawn M Higgins Arnp NPPES

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

DAWN M HIGGINS ARNP (NPI 1487632287) is an individual nurse practitioner in Waterloo, Iowa, licensed in Iowa (087431) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1487632287
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDAWN M HIGGINSCredential: ARNP
Location Address1717 W RIDGEWAY AVEWaterloo, IA 50701-4543
Mailing Address1717 W Ridgeway AveWaterloo, IA 50701-4543 · (319) 833-5700 · Fax (319) 833-5740
Phone(319) 833-5700
Fax(319) 833-5740
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 3, 2006
Last NPPES UpdateOctober 22, 2007
✔ NPI 1487632287 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 · 087431
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.
1717 W RIDGEWAY AVE, Waterloo, IA 50701
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Other Identifiers 12

Medicaid3449272IA
Medicaid7449272IA
Medicaid2449272IA
Medicaid5449272IA
Medicaid1449272IA
Medicaid0449272IA
Medicare ID-Type UnspecifiedI14380IA
Medicaid6449272IA
Medicaid9449272IA
Medicaid4449272IA
OtherP00173600IA · Rr Medicare
Medicare UPINP36627IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..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

Dawn M Higgins Arnp 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 ID2769431816
PECOS Enrollment IDI20050117000118
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

2

Medicare enrollment records show Dawn Higgins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unitypoint Health - Marshalltown
43 mi
Emergency Medicine
55 UNITYPOINT WAY
Marshalltown, IA 50158
  • Reassigned Medicare billing, Iowa enrollment
  • 214 clinicians in this Medicare group
NPI 1164957593 (641) 754-5145
Iowa Physicians Clinic Medical Foundation
89 mi
General Practice
8101 BIRCHWOOD CT, SUITE N
Johnston, IA 50131
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
NPI 1891127502 (515) 471-9300

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
255 services122 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services13 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
19 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
19 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50701 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 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$76.46 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$9.17 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 16

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

KATHERINE MARIE KUEHN R.D., L.D.
Dietitian, Registered
1717 W RIDGEWAY AVE
WATERLOO, IA 50701
Black Hawk County (319) 833-5830
THOMAS R SPRAGG MD
Internal Medicine
1717 W RIDGEWAY AVE
WATERLOO, IA 50701
Black Hawk County (319) 833-5700
KAYLEY MORGAN LAWRENCE ARNP
Nurse Practitioner (Family)
1717 W RIDGEWAY AVE
WATERLOO, IA 50701
Black Hawk County (319) 233-0340
PRATIBHA DUA MD
Internal Medicine
1717 W RIDGEWAY AVE
WATERLOO, IA 50701
Black Hawk County (319) 833-5700
ALLEN MEMORIAL HOSPITAL CORPORATION
Durable Medical Equipment & Medical Supplies
1717 W RIDGEWAY AVE, SUITE 50A
WATERLOO, IA 50701
Black Hawk County (319) 833-6050
MRS. DEBORAH J VAN DYKE ARNP-BC
Nurse Practitioner (Family)
1717 W RIDGEWAY AVE
WATERLOO, IA 50701
Black Hawk County (319) 833-5830
DANIEL KWAI LEE MD
Urology
1717 W RIDGEWAY AVE
WATERLOO, IA 50701
Black Hawk County (319) 233-0340
DR. ERIC JOHN ASKELAND M.D.
Urology
1717 W RIDGEWAY AVE
WATERLOO, IA 50701
Black Hawk County (319) 233-0340

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 Dawn Higgins's NPI number?

The NPI number for Dawn Higgins is 1487632287. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Dawn Higgins located?

Dawn Higgins practices at 1717 W Ridgeway Ave, Waterloo, IA 50701. The listed phone number is (319) 833-5700.

What is Dawn Higgins's specialty?

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

Is Dawn Higgins enrolled in Medicare?

Yes. Dawn 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 Dawn Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Higgins reassigns Medicare benefits to 2 organizations: Unitypoint Health - Marshalltown (Marshalltown, IA) and Iowa Physicians Clinic Medical Foundation (Johnston, IA). 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 Dawn Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Higgins accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Dawn 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 Dawn Higgins affiliated with any hospitals?

According to CMS data, Dawn Higgins is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi and Allen Hospital.

When was this NPI record last updated?

The NPPES record for Dawn Higgins was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.