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JULIANNE HIGDON APRN
NPI 1669877163
Nurse Practitioner - Family in Paducah, KY

Active since October 27, 2014PECOS Enrolled
95.5/100
CMS Quality Rating
2601 KENTUCKY AVE, SUITE 103, PADUCAH, KY 42003(270) 415-4860(270) 415-4862 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Julianne Higdon Aprn NPPES

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

JULIANNE HIGDON APRN (NPI 1669877163) is an individual family provider in Paducah, Kentucky, licensed in Kentucky (3001935) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669877163
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJULIANNE HIGDONCredential: APRN
Location Address2601 KENTUCKY AVE, SUITE 103Paducah, KY 42003-3817
Mailing AddressPo Box 7309Paducah, KY 42002-7309 · (270) 744-9600 · Fax (270) 744-0834
Phone(270) 415-4860
Fax(270) 415-4862
Sole ProprietorNo
Enumeration DateOctober 27, 2014
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1669877163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3001935
2601 KENTUCKY AVE, Paducah, KY 42003
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julianne Higdon Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims46 services$6.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$19.35 avg. paid by Medicare
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 supplier11 claims11 services$108.50 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers18 claims18 services$194.48 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 20

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

BELINDA JENKINS
Nurse Practitioner (Family)
2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003
McCracken County (270) 759-4098
BAPTIST HEALTHCARE SYSTEM INC
Pharmacy (Community/Retail Pharmacy)
2601 KENTUCKY AVE, MEDICAL PARK 1, SUITE 101
PADUCAH, KY 42003
McCracken County (270) 575-5870
DR. BRADLEY B MCELROY M.D.
Internal Medicine (Cardiovascular Disease)
2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003
McCracken County (270) 575-3113
ASHLEY C JENKS APRN
Nurse Practitioner (Family)
2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003
McCracken County (270) 575-3113
WESTERN KENTUCKY HEART & CHEST SURGERY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2601 KENTUCKY AVE, STE 300
PADUCAH, KY 42003
McCracken County (270) 443-5564
DR. MARTIN RAINS M.D.
Internal Medicine (Interventional Cardiology)
2601 KENTUCKY AVE, SUITE 300
PADUCAH, KY 42003
McCracken County (270) 575-3113
DR. CARL M JOHNSON M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2601 KENTUCKY AVE, STE 300
PADUCAH, KY 42003
McCracken County (270) 443-5564
WESTERN BAPTIST MEDICAL VENTURES INC
Clinic/Center (Primary Care)
2601 KENTUCKY AVE, SUITE 103
PADUCAH, KY 42003
McCracken County (270) 443-4311

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 Julianne Higdon's NPI number?

The NPI number for Julianne Higdon is 1669877163. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Where is Julianne Higdon located?

Julianne Higdon practices at 2601 Kentucky Ave Suite 103, Paducah, KY 42003. The listed phone number is (270) 415-4860.

What is Julianne Higdon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Julianne Higdon enrolled in Medicare?

Yes. Julianne Higdon is registered in the Medicare PECOS enrollment system.

What insurance does Julianne Higdon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Julianne 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 Julianne Higdon was last updated on December 9, 2020. 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.