Provider Profile
Loretta A. Higgins, NP
Unclaimed ProfileAbout Loretta Higgins
Listed in the NPI registry as a nurse practitioner, Loretta A. Higgins, NP practices in Dover, DE. According to Medicare claims data, Loretta cared for 424 Medicare patients across 475 services. The services billed most often include initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes, initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes, and subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (302) 608-5299
- Email not available
Practice Locations
530 S STATE ST STE 107
Dover, DE 19901
Procedures Most Often Billed to Medicare
475 services · 424 patients · 6 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
141 | More than most peers in Nurse Practitioner |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99221 |
112 | More than most peers in Nurse Practitioner |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
91 | More often than most peers in Nurse Practitioner |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
62 | More often than most peers in Nurse Practitioner |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
41 | As often as other peers in Nurse Practitioner |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | Office visit | 99231 |
28 | As often as other peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other nurse practitioners at this location 2
Same specialty, same street address — most likely the same department or group.
Also at this address 2
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Common questions
What is Loretta A. Higgins's specialty?
Loretta A. Higgins is a nurse practitioner in Dover, DE. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where can I find Loretta A. Higgins?
Loretta A. Higgins is listed at 530 S State St Ste 107, Dover, DE 19901. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Loretta A. Higgins?
The number on file is (302) 608-5299. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is Loretta A. Higgins's NPI number?
Loretta A. Higgins's National Provider Identifier is 1205839842. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
How long has Loretta A. Higgins been practicing?
Loretta A. Higgins has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
What is Loretta A. Higgins known for?
According to Medicare billing data, Loretta A. Higgins the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Loretta A. Higgins confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Loretta A. Higgins. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.