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

Q: 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.

Q: What is Julianne Higdon's specialty?

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

Q: 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.

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: October 25, 2026.

On this page

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Julianne Higdon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc

3.2 mi

Rural Health

4620 VILLAGE SQUARE DR
Paducah, KY 42001

Reassigned Medicare billing, Kentucky enrollment
1,441 clinicians in this Medicare group

NPI 1417881210 (270) 442-8575

Norton Children's Medical Group, LLC

188 mi

Clinical Genetics (M.D.)

4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Norton Childrens Medical Group LLC
1,008 clinicians in this Medicare group

NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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

MS. ASHLEY C HAHN 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.

Which organizations bill Medicare for Julianne Higdon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julianne Higdon reassigns Medicare benefits to 2 organizations: Baptist Health Medical Group Inc (Paducah, KY) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Julianne Higdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.