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NICOLE RAE HIGGINS RPA-C
NPI 1689986267
Physician Assistant in Gloversville, NY

Active since July 12, 2010PECOS EnrolledAccepts Medicare Assignment
99 E STATE ST, MEDICAL ARTS BLDG SUITE 106, GLOVERSVILLE, NY 12078(518) 775-4300(518) 775-4309 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Rae Higgins Rpa-c NPPES

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

NICOLE RAE HIGGINS RPA-C (NPI 1689986267) is an individual physician assistant in Gloversville, New York, licensed in New York (014034) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of Albany Medical College Of Union University (2010).

NPPES Registry Identity

NPI1689986267
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE RAE HIGGINSCredential: RPA-C
Location Address99 E STATE ST, MEDICAL ARTS BLDG SUITE 106Gloversville, NY 12078-1203
Mailing Address99 E State St, Po Box 1250Gloversville, NY 12078-1203 · (518) 775-4300 · Fax (518) 775-4309
Phone(518) 775-4300
Fax(518) 775-4309
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2010
Enumeration DateJuly 12, 2010
Last NPPES UpdateSeptember 8, 2016
✔ NPI 1689986267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 014034
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
99 E STATE ST, Gloversville, NY 12078
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Other Identifiers 2

Medicaid03250204NY
Medicare PINJ400283431NY

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

Nicole Rae Higgins Rpa-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 ID2668597899
PECOS Enrollment IDI20100913000081
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 3

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.
111 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330276
Location99 East State StreetGloversville, NY 12078 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12078 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

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
4 suppliers24 claims47 services$6.59 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 supplier13 claims13 services$17.48 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$7.80 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 supplier14 claims14 services$102.19 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers16 claims2,546 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers16 claims16 services$21.14 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.

ANESTHESIA ASSOCIATES
Anesthesiology
99 E STATE ST
GLOVERSVILLE, NY 12078
Fulton County (518) 775-4208
ASWATHI ELSA MATHEW MD
Internal Medicine
99 E STATE ST
GLOVERSVILLE, NY 12078
Fulton County (518) 773-5690
KOUSAI O ALI KHAN PA
Physician Assistant
99 E STATE ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-8621
JUNE BROUILLARD BARBER NP
Nurse Practitioner
99 E STATE ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-8621
KAMINI S. RAMANI M.D., P.C
Specialist
99 E STATE ST, MEDCIAL ARTS BUILDING STE 102
GLOVERSVILLE, NY 12078
Fulton County (518) 725-6080
KYLA SANTIAGO
Physical Therapy Assistant
99 E STATE ST
GLOVERSVILLE, NY 12078
Fulton County (518) 725-8621
LINDA GOLDSTEIN
Occupational Therapy Assistant
99 E STATE ST
GLOVERSVILLE, NY 12078
Fulton County (518) 773-5625
PARVATHI S KESARI MD
Internal Medicine
99 E STATE ST, MAB-GPCC
GLOVERSVILLE, NY 12078
Fulton County (518) 773-5690

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 Nicole Higgins's NPI number?

The NPI number for Nicole Higgins is 1689986267. It was assigned to this individual provider in the NPPES registry on July 12, 2010.

Where is Nicole Higgins located?

Nicole Higgins practices at 99 E State St Medical Arts Bldg Suite 106, Gloversville, NY 12078. The listed phone number is (518) 775-4300.

What is Nicole Higgins's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Higgins enrolled in Medicare?

Yes. Nicole 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.

Is Nicole Higgins affiliated with any hospitals?

According to CMS data, Nicole Higgins is affiliated with St Mary's Healthcare and Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Higgins was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.