Shane M Higgins, PA - Medicare Physician Assistant in Nevada, IA

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Shane M Higgins, PA is a medicare enrolled "Physician Assistant" in Nevada, Iowa. He graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Story County Hospital and his current practice location is 640 S 19th St Ste 100, Nevada, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 382-5413.

Shane M Higgins is licensed to practice in Iowa (license number 001492) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316922396.

Contact Information

Shane M Higgins, PA
640 S 19th St Ste 100,
Nevada, IA 50201
(515) 382-5413
(515) 382-7107

Map and Direction




Provider's Profile

Full NameShane M Higgins
GenderMale
SpecialityPhysician Assistant
Experience23 Years
Location640 S 19th St Ste 100, Nevada, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane M Higgins graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1316922396
  • Provider Enumeration Date: 12/13/2005
  • Last Update Date: 05/07/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4183792237
  • Enrollment ID: I20081002000670

Medical Identifiers

Medical identifiers for Shane M Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316922396NPI-NPPES
P00709212OtherRR MEDICARE
DA1548OtherRR MEDICARE GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 001492 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Story County HospitalNevada, IAHospital
Mary Greeley Medical CenterAmes, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Story County Hospital054715388416

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shane M Higgins allows following entities to bill medicare on his behalf.
Entity NameStory County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023080504
PECOS PAC ID: 0547153884
Enrollment ID: O20040204000957
Entity NameClarke County Public Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023045804
PECOS PAC ID: 1951219328
Enrollment ID: O20040224000636
Entity NameStory County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1215054713
PECOS PAC ID: 0547153884
Enrollment ID: O20090921000517

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shane M Higgins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shane M Higgins, PA
640 S 19th St Ste 100,
Nevada, IA 50201-2902

Ph: (515) 382-5413		Shane M Higgins, PA
640 S 19th St Ste 100,
Nevada, IA 50201

Ph: (515) 382-5413

Reviews and Comments


Physician Assistant Nurses in Nevada, IA

Ms. Diane M. Lowry, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 230 S. 6th St., Nevada, IA 50201
Phone: 515-382-5471    Fax: 515-382-5621
Jyl L Wonnell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 640 S 19th St Ste 100, Nevada, IA 50201
Phone: 515-382-5413    Fax: 515-382-7107
Ms. Michelle R Jans, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 640 S 19th St, Nevada, IA 50201
Phone: 515-382-2111    Fax: 515-382-7760

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.