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SHARON MARIE HIGGINS NP-C
NPI 1811265598
Nurse Practitioner - Family in Boston, MA

Active since December 08, 2011PECOS EnrolledAccepts Medicare Assignment
125 PARKER HILL AVENUE, BOSTON, MA 02451(617) 754-5763(617) 754-6408 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sharon Marie Higgins Np-c NPPES

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

SHARON MARIE HIGGINS NP-C (NPI 1811265598) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN229342) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with New England Baptist Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1811265598
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHARON MARIE HIGGINSCredential: NP-C
Location Address125 PARKER HILL AVENUEBoston, MA 02451
Mailing Address125 Parker Hill AvenueBoston, MA 02451 · (617) 754-5763 · Fax (617) 754-6408
Phone(617) 754-5763
Fax(617) 754-6408
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 8, 2011
✔ NPI 1811265598 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 MA · RN229342
125 PARKER HILL AVENUE, Boston, MA 02451
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Accepted Insurance

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

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

Sharon Marie Higgins Np-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 ID2466612171
PECOS Enrollment IDI20120404000216
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

New England Baptist Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220088
Location125 Parker Hill AvenueBoston, MA 02120 · Suffolk County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02451 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cane, includes canes of all materials, adjustable or fixed, with tip E0100
DME-Other DME · category DE000N
1 supplier36 claims36 services$19.48 avg. paid by Medicare
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114
DME-Other DME · category DE000N
2 suppliers88 claims88 services$38.54 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers159 claims159 services$40.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sharon Higgins's NPI number?

The NPI number for Sharon Higgins is 1811265598. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Where is Sharon Higgins located?

Sharon Higgins practices at 125 Parker Hill Avenue, Boston, MA 02451. The listed phone number is (617) 754-5763.

What is Sharon Higgins's specialty?

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

Is Sharon Higgins enrolled in Medicare?

Yes. Sharon 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.

What insurance does Sharon Higgins accept?

Health plans from Anthem Blue Cross and Blue Shield list Sharon Higgins 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 Sharon Higgins affiliated with any hospitals?

According to CMS data, Sharon Higgins is affiliated with New England Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Sharon Higgins was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.