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Active NPI 1205839842 Individual Practitioner Female Practitioner

Loretta A Higgins , NP

Nurse Practitioner • Dover, DE

Professional Overview & Biography Verified Profile Summary

Loretta Higgins, NP is a registered healthcare professional specializing in Nurse Practitioner in Dover, DE. Practice services are available at 530 S STATE ST STE 107 under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

530 S State St Ste 107

Dover, DE 199013562

Telephone 3026085299
Fax 3026083885
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dover, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 9.1 Yrs
Regional Practice Density
59 Specialists

Practicing in Dover, DE (552 Statewide)

Telehealth Adoption Rate
8.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
141 131 $583.16 $107.71
99221 Initial hospital inpatient care per day, typically 30 minutes
112 103 $352.11 $68.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
91 70 $264.43 $64.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
62 60 $701.29 $142.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
41 36 $377.49 $98.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes
28 24 $146.50 $40.86

Medical Specialties & State Licenses

CMS Verified: 2023-09-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License DE LD-0000109

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1215309802

Nurse Practitioner (Certified)

Dr. Bilal Bangash , MD

Internal Medicine - Critical Care Medicine

NPI 1265967343

Doctor of Medicine (M.D.)

Robin Maracle , AGCNS-BC

Clinical Nurse Specialist

NPI 1699332171

AGCNSBC

Holly Browne , CRNP

Nurse Practitioner

NPI 1881660090

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 22, 2023

Registered at 530 S STATE ST STE 107, DOVER, DE 199013562 (Tel: 3026085299)

📍
Updated Business Mailing Address September 22, 2023

Registered at 640 S STATE ST, MAIL CODE 3055, DOVER, DE 199013530 (Tel: 3024801688)

📍
Updated Practice Location September 10, 2021

Registered at 640 S STATE ST, DOVER, DE 199013530 (Tel: 3027446584)

📍
Updated Business Mailing Address September 10, 2021

Registered at 640 S STATE ST, DOVER, DE 199013530 (Tel: 3024801688)

NPI Profile Active February 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2010

Registered at 34431 KING STREET ROW, LEWES, DE 199584787 (Tel: 3026452666)

📍
Updated Business Mailing Address February 22, 2010

Registered at 34431 KING STREET ROW, LEWES, DE 199584787 (Tel: 3026452666)

👤
Provider Name / Credentials Updated February 22, 2010

Recorded as LORETTA HIGGINS, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2010

Nurse Practitioner (License #LD-0000109 in DE)

🟢
Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205839842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: September 22, 2023
Sole Proprietor: No

Mailing Address

640 S State St, Mail Code 3055

Dover, DE 199013530

Phone: 3024801688

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.