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HUNTER LEE HIGDON FNP-C
NPI 1619647021
Nurse Practitioner in Winston Salem, NC

Active since September 16, 2021PECOS EnrolledAccepts Medicare Assignment
2452 FAIRLAWN CT, WINSTON SALEM, NC 27106(336) 443-9910 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 5, 2024, Jan 2, 2024, Sep 16, 2021 (3 updates tracked since 2021).

About Hunter Lee Higdon Fnp-c NPPES

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

HUNTER LEE HIGDON FNP-C (NPI 1619647021) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5019243) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619647021
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameHUNTER LEE HIGDONCredential: FNP-C
Location Address2452 FAIRLAWN CTWinston Salem, NC 27106-3884
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 443-9910
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 16, 2021
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1619647021 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 NC · 5019243
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11015431 (FL)
2452 FAIRLAWN CT, Winston Salem, NC 27106
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Secondary Practice Locations 2

Location 13000 S McCall RdEnglewood, FL 34224-8616 · Phone (941) 841-4200
Location 2650 Julian RdSalisbury, NC 28147-9078 · Phone (704) 637-3373 · Fax (704) 637-0069

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Hunter Lee Higdon Fnp-c 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 ID1254738537
PECOS Enrollment IDI20240126003968
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 Hunter Higdon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolina Medicorp Enterprises, LLC
27 mi
Urgent Care
2635 LAWNDALE DR
Greensboro, NC 27408
  • Reassigned Medicare billing, North Carolina enrollment
  • 117 clinicians in this Medicare group
NPI 1508741067 (336) 867-4310
Millennium Physician Group LLC
667 mi
Family Medicine
6321 DANIELS PKWY
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 1,278 clinicians in this Medicare group
NPI 1811122880 (877) 856-3774

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 8

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 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.
139 services131 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
32 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
30 services25 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.
26 services23 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27106 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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

BRADLEY L. LAYMON PA
Physician Assistant
2452 FAIRLAWN CT
WINSTON SALEM, NC 27106
Forsyth County (336) 443-9910
JOSIE CHRISTINE WHITMORE FNP
Nurse Practitioner
2452 FAIRLAWN CT
WINSTON SALEM, NC 27106
Forsyth County (336) 281-5873

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 Hunter Higdon's NPI number?

The NPI number for Hunter Higdon is 1619647021. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Hunter Higdon located?

Hunter Higdon practices at 2452 Fairlawn Ct, Winston Salem, NC 27106. The listed phone number is (336) 443-9910.

What is Hunter Higdon's specialty?

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

Is Hunter Higdon enrolled in Medicare?

Yes. Hunter Higdon 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 Hunter Higdon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hunter Higdon reassigns Medicare benefits to 2 organizations: Carolina Medicorp Enterprises, LLC (Greensboro, NC) and Millennium Physician Group LLC (Fort Myers, FL). 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 Hunter Higdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hunter Higdon accept?

Health plans from Blue Cross and Blue Shield of NC list Hunter Higdon 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 Hunter Higdon was last updated on August 5, 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.