DEREK HIGGINS DNP
NPI 1538865308
Nurse Practitioner - Psychiatric/Mental Health in Olathe, KS

Active since February 03, 2023PECOS EnrolledAccepts Medicare Assignment
1125 W SPRUCE ST, OLATHE, KS 66061(913) 826-4200 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2023, Feb 13, 2023, Feb 3, 2023 (3 updates tracked since 2023).

About Derek Higgins Dnp NPPES

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

DEREK HIGGINS DNP (NPI 1538865308) is an individual psychiatric/mental health provider in Olathe, Kansas, licensed in Kansas (53-81570-052) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Olathe, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2022).

NPPES Registry Identity

NPI1538865308
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDEREK HIGGINSCredential: DNP
Location Address1125 W SPRUCE STOlathe, KS 66061-3123
Mailing Address1125 W Spruce StOlathe, KS 66061-3123 · (913) 826-1533
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2022
Enumeration DateFebruary 3, 2023
Last NPPES UpdateMarch 17, 20233 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
NPI 1538865308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in KS · 53-81570-052
1125 W SPRUCE ST, Olathe, KS 66061

Secondary Practice Location 1

Location 113351 S Arapaho DrOlathe, KS 66062-1520 · Phone (913) 353-3000

Accepted 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

Derek Higgins Dnp 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 ID244603207
PECOS Enrollment IDI20230222002958
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 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.

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.
32 services13 patients
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.
21 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66061 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

Social Worker
1125 W SPRUCE ST
OLATHE, KS 66061
Psychologist
1125 W SPRUCE ST
OLATHE, KS 66061
Social Worker (Clinical)
1125 W SPRUCE ST
OLATHE, KS 66061
Social Worker (Clinical)
1125 W SPRUCE ST
OLATHE, KS 66061
Nurse Practitioner (Psychiatric/Mental Health)
1125 W SPRUCE ST
OLATHE, KS 66061
Social Worker
1125 W SPRUCE ST
OLATHE, KS 66061
Counselor (Professional)
1125 W SPRUCE ST
OLATHE, KS 66061
Social Worker
1125 W SPRUCE ST
OLATHE, KS 66061

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 Derek Higgins's NPI number?

The NPI number for Derek Higgins is 1538865308. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Where is Derek Higgins located?

Derek Higgins practices at 1125 W Spruce St, Olathe, KS 66061. The listed phone number is (913) 826-4200.

What is Derek Higgins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Derek Higgins enrolled in Medicare?

Yes. Derek 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 Derek Higgins accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and Providence Health Plan list Derek 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.

When was this NPI record last updated?

The NPPES record for Derek Higgins was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.