COLLEEN KARSON HIGDON WHNP-BC
NPI 1649931734
Nurse Practitioner - Women's Health in Sanford, NC
About Colleen Karson Higdon Whnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN KARSON HIGDON WHNP-BC (NPI 1649931734) is an individual women's health provider in Sanford, North Carolina, licensed in North Carolina (HIGD-NIYUF) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Central Carolina Hospital, and maintains a secondary practice location in Holly Springs.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Colleen Karson Higdon Whnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Colleen Higdon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sanford, NC 27330
- Reassigned Medicare billing, North Carolina enrollment
- 92 clinicians in this Medicare group
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 701 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Central Carolina Hospital
Acute Care Hospitals · Sanford, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANFORD, NC 27330
SANFORD, NC 27330
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 Colleen Higdon's NPI number?
The NPI number for Colleen Higdon is 1649931734. It was assigned to this individual provider in the NPPES registry on January 1, 2022.
Where is Colleen Higdon located?
Colleen Higdon practices at 1140 Carthage St, Sanford, NC 27330. The listed phone number is (919) 775-2305.
What is Colleen Higdon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Colleen Higdon enrolled in Medicare?
Yes. Colleen 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 Colleen Higdon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Higdon reassigns Medicare benefits to 2 organizations: Dlp Central Carolina Medical Group LLC (Sanford, NC) and North Carolina Mg, LLC (Raleigh, NC). 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 Colleen Higdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Colleen Higdon accept?
Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Colleen 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.
Is Colleen Higdon affiliated with any hospitals?
According to CMS data, Colleen Higdon is affiliated with Central Carolina Hospital.
When was this NPI record last updated?
The NPPES record for Colleen Higdon was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.
# Colleen Karson Higdon, WHNP-BC · NPI 1649931734
Women's Health physician in Sanford, North Carolina. Individual provider, active in the CMS NPPES registry since January 1, 2022.
## Identity
- **NPI:** 1649931734 (Entity type: Individual)
- **Enumerated:** January 1, 2022
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** HIGD-NIYUF (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1140 CARTHAGE ST, Sanford, NC 27330-4161
- **Phone:** (919) 775-2305
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dlp Central Carolina Medical Group LLC (NPI 1003508367, Sanford, NC); North Carolina Mg, LLC (NPI 1215741640, Raleigh, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649931734) · Data from the CMS NPPES public registry.