MARSHALL J HIGGINS CRNA
NPI 1497059331
Nurse Anesthetist, Certified Registered in Portland, ME

Active since January 07, 2011PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
33 SEWALL ST, PORTLAND, ME 04102(120) 766-2252 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marshall J Higgins Crna NPPES

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

MARSHALL J HIGGINS CRNA (NPI 1497059331) is an individual nurse anesthetist, certified registered in Portland, Maine, licensed in Maine (RNA103027) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1497059331
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARSHALL J HIGGINSCredential: CRNA
Location Address33 SEWALL STPortland, ME 04102-2603
Mailing Address324 Gannett Dr Ste 200South Portland, ME 04106-3266 · (207) 482-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 7, 2011
Last NPPES UpdateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1497059331 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 ME · RNA103027
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.
33 SEWALL ST, Portland, ME 04102

Secondary Practice Location 1

Location 122 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-4562

Other Identifiers 1

Medicaid1497059331ME

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

Marshall J 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 ID9830372887
PECOS Enrollment IDI20110329000216
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 Marshall Higgins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maternal & Fetal Medicine
887 CONGRESS ST, SUITE 200
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
Pediatrics
473 ALFRED ST
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Southern Maine Health Care
  • 253 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

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 large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

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 20

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

Specialist/Technologist (Athletic Trainer)
33 SEWALL ST
PORTLAND, ME 04102
Physician Assistant
33 SEWALL ST
PORTLAND, ME 04102
Occupational Therapist
33 SEWALL ST
PORTLAND, ME 04102
Physical Medicine & Rehabilitation
33 SEWALL ST
PORTLAND, ME 04102
Physician Assistant (Surgical)
33 SEWALL ST
PORTLAND, ME 04102
Occupational Therapist
33 SEWALL ST
PORTLAND, ME 04102
Specialist/Technologist (Athletic Trainer)
33 SEWALL ST
PORTLAND, ME 04102
Orthopaedic Surgery (Hand Surgery)
33 SEWALL ST
PORTLAND, ME 04102

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 Marshall Higgins's NPI number?

The NPI number for Marshall Higgins is 1497059331. It was assigned to this individual provider in the NPPES registry on January 7, 2011.

Where is Marshall Higgins located?

Marshall Higgins practices at 33 Sewall St, Portland, ME 04102. The listed phone number is (120) 766-2252.

What is Marshall Higgins's specialty?

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

Is Marshall Higgins enrolled in Medicare?

Yes. Marshall 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 Marshall Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marshall Higgins reassigns Medicare benefits to 2 organizations: Mainehealth (Portland, ME) and Webber Hospital Association (Biddeford, ME). 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 Marshall Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marshall Higgins affiliated with any hospitals?

According to CMS data, Marshall Higgins is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Marshall Higgins was last updated on July 20, 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.