MARY JANE HIGGS APNP
NPI 1932586609
Nurse Practitioner in Milwaukee, WI

Q: What is Mary Higgs's NPI number?

The NPI number for Mary Higgs is 1932586609. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Q: What is Mary Higgs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Higgs was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 May 01, 2015PECOS EnrolledAccepts Medicare Assignment

9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-6850(414) 805-6864 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, Jul 15, 2021, Nov 23, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Mary Jane Higgs Apnp NPPES

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

MARY JANE HIGGS APNP (NPI 1932586609) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (6356-33) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1932586609

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY JANE HIGGSCredential: APNP

Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522

Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-6850 · Fax (414) 805-6864

Phone(414) 805-6850

Fax(414) 805-6864

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 1, 2015

Last NPPES UpdateJanuary 29, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2025

✔ NPI 1932586609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 6356-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9200 W WISCONSIN AVE, Milwaukee, WI 53226

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11111 Delafield St Ste 327Waukesha, WI 53188-3407 · Phone (262) 875-4892 · Fax (866) 817-3838

Location 23200 E Racine StJanesville, WI 53546-2343 · Phone (608) 371-8000

Location 34530 N Oakland AveMilwaukee, WI 53211-1215 · Phone (414) 332-7000

Other Identifiers 1

Medicaid1932586609WI

Accepted Insurance

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

Mary Jane Higgs Apnp 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 ID446565287

PECOS Enrollment IDI20150821014733

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 5

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.

41 services26 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

37 services36 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

33 services19 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

23 services18 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520063

Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County

Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520103

LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County

Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

TRACY BLAIR WANDTKE HERRMANN APNP, CNM

Advanced Practice Midwife

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-4777

DR. ZACHARY SMITH DO

Internal Medicine (Gastroenterology)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-6830

DR. COLLEEN ANN CROWE M.D., M.P.H.

Emergency Medicine

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6469

ROBERTO MEJIAS APNP

Nurse Practitioner (Pediatrics)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6600

MRS. ANNE E B LAKATOS APN-BC, APNP, RN

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

MRS. AMANDA M MANDERS APNP

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

KATHLEEN A WATERHOUSE-SKIBICKI CRNA

Nurse Anesthetist, Certified Registered

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-5951

ANDREA L BEQUEST PA

Physician Assistant (Medical)

9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-0350

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 Mary Higgs's NPI number?

The NPI number for Mary Higgs is 1932586609. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Mary Higgs located?

Mary Higgs practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-6850.

What is Mary Higgs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Higgs enrolled in Medicare?

Yes. Mary Higgs 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 Mary Higgs accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Mary Higgs 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 Mary Higgs affiliated with any hospitals?

According to CMS data, Mary Higgs is affiliated with St Josephs Community Hospital West Bend, Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Mary Higgs was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.