Doctor profile · Federal record
Dr. Pamela Higgins, NP
Nurse Practitioner · Sheboygan, WI
- NPI 1053502625
- Accepts Medicare
- 5 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3400 Union Ave
Sheboygan, WI 530818426
(920) 828-2700
fax (920) 828-2705 - Mailing address
-
Po Box 735044
Chicago, IL 606735044
Credentials & registration
- NPI registered
- August 2007 — 19 yrs on file
- Profile last updated
- October 14, 2024
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Wisconsin #11188-33
- Medicaid (2)
- WI #100183427 · WI #35033300
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053502625. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
434
Distinct HCPCS
5
Medicare allowed
$24,774
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 260 | 66 | $24 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 77 | 69 | $137 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 58 | 37 | $95 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 | 18 | $63 | |
99497 |
Advance care planning, first 30 minutes | 19 | 16 | $60 |
In context: peer comparison
Among 17 peers in Sheboygan Nurse Practitioner, average services per provider: 51. This provider delivers 8.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$214
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Morphine Sulfate | Generic | 11 | 0 | $214 |
Frequently asked questions
What is Dr. Pamela Higgins's medical specialty?
Dr. Pamela Higgins practices Nurse Practitioner in Sheboygan, WI.
Where does Dr. Pamela Higgins practice?
Dr. Pamela Higgins practices at 3400 Union Ave, Sheboygan, WI 530818426. Office phone: 9208282700.
What is Dr. Pamela Higgins's NPI?
Dr. Pamela Higgins's National Provider Identifier (NPI) is 1053502625, issued by NPPES.
Does Dr. Pamela Higgins accept Medicare assignment?
Yes. Dr. Pamela Higgins accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pamela Higgins commonly perform?
Top Medicare-reported procedures in 2023: Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th (HCPCS G0316); Initial hospital care with moderate level of medical decision making (HCPCS 99223); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.