MS. SIMONE TAMARA HIGGINS MSN, CRNP
NPI 1902489917
Nurse Practitioner - Gerontology in Audubon, PA

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment
5000 SHANNONDELL DR, AUDUBON, PA 19403(610) 382-9733 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Simone Tamara Higgins Msn, Crnp NPPES

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

MS. SIMONE TAMARA HIGGINS MSN, CRNP (NPI 1902489917) is an individual gerontology provider in Audubon, Pennsylvania, licensed in Pennsylvania (SP023144) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902489917
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. SIMONE TAMARA HIGGINSCredential: MSN, CRNP
Location Address5000 SHANNONDELL DRAudubon, PA 19403-5684
Mailing Address5000 Shannondell DrAudubon, PA 19403-5684
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1902489917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP023144
5000 SHANNONDELL DR, Audubon, PA 19403

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

Ms. Simone Tamara Higgins Msn, Crnp 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 ID5092103788
PECOS Enrollment IDI20211029000947
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 Reassignment

Medicare enrollment records show Simone Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Geriatric Medicine
5000 SHANNONDELL DR
Audubon, PA 19403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 24 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.

Areas of Expertise CMS Part B claims 4

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
602 services185 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
290 services132 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
218 services206 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
141 services127 patients

Hospital Affiliations CMS Care Compare

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

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19403 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Geriatric Medicine)
5000 SHANNONDELL DR
AUDUBON, PA 19403
Physical Therapy Assistant
5000 SHANNONDELL DR
AUDUBON, PA 19403
Nurse Practitioner
5000 SHANNONDELL DR
AUDUBON, PA 19403
Physical Therapist
5000 SHANNONDELL DR
AUDUBON, PA 19403
Skilled Nursing Facility
5000 SHANNONDELL DR
AUDUBON, PA 19403

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 Simone Higgins's NPI number?

The NPI number for Simone Higgins is 1902489917. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Simone Higgins located?

Simone Higgins practices at 5000 Shannondell Dr, Audubon, PA 19403. The listed phone number is (610) 382-9733.

What is Simone Higgins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Simone Higgins enrolled in Medicare?

Yes. Simone 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.

Which organization bills Medicare for Simone Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simone Higgins reassigns Medicare benefits to Shannondell, Inc. (Audubon, PA). The 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 Simone Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Simone Higgins affiliated with any hospitals?

According to CMS data, Simone Higgins is affiliated with Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Simone Higgins was last updated on April 28, 2021. 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.