DR. NICOLE H HIGGINBOTHAM DNP, APRN, CPNP-AC
NPI 1902828759
Nurse Practitioner - Pediatrics in Austin, TX

Q: What is Nicole Higginbotham's NPI number?

The NPI number for Nicole Higginbotham is 1902828759. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Nicole Higginbotham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since July 24, 2006PECOS Enrolled

9835 N LAKE CREEK PKWY, AUSTIN, TX 78717(737) 289-7100 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 23, 2024, Feb 26, 2020 (2 updates tracked since 2020).

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About Dr. Nicole H Higginbotham Dnp, Aprn, Cpnp-ac NPPES

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

DR. NICOLE H HIGGINBOTHAM DNP, APRN, CPNP-AC (NPI 1902828759) is an individual pediatrics provider in Austin, Texas, licensed in Texas (171657) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902828759

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameDR. NICOLE H HIGGINBOTHAMCredential: DNP, APRN, CPNP-AC

Location Address9835 N LAKE CREEK PKWYAustin, TX 78717-6210

Mailing Address9835 N Lake Creek PkwyAustin, TX 78717-6210 · (737) 289-7100

Phone(737) 289-7100

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1902828759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 171657

9835 N LAKE CREEK PKWY, Austin, TX 78717

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Harbor 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)

Dr. Nicole H Higginbotham Dnp, Aprn, Cpnp-ac 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 Nicole Higginbotham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Magella Medical Associates Billing, Inc.

5.3 mi

Neonatal-Perinatal Medicine

2400 ROUND ROCK AVE
Round Rock, TX 78681

Reassigned Medicare billing, Texas enrollment
432 clinicians in this Medicare group

NPI 1083631071 (512) 341-1000

Dell Children's Medical Group

5.9 mi

Pediatrics

1000 HESTERS CROSSING RD
Round Rock, TX 78681

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Dell Childrens Medical Group
576 clinicians in this Medicare group

NPI 1790103869 (512) 628-1800

Longhorn Emergency Medical Associates PA

13 mi

Emergency Medicine

919 E 32ND ST
Austin, TX 78705

Reassigned Medicare billing, Texas enrollment
547 clinicians in this Medicare group

NPI 1649669672 (925) 251-6901

Texas Children's Physician Group

153 mi

Pediatrics

6621 FANNIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Texas Childrens Physician Group
2,498 clinicians in this Medicare group

NPI 1861675506 (832) 824-1000

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 78717 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Reported Quality Measures

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

53%47 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

74%47 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

19%47 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

38%47 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ANUSHA CHINTHAPARTHI MD

Pediatrics (Neonatal-Perinatal Medicine)