TYLER HIGAKI – Psychiatric/Mental Health Nurse Practitioner, NPI 1104612175

TYLER HIGAKI is a healthcare provider. based in Colorado springs, Colorado. specializing in NURSE PRACTITIONER. They hold a License No. APN.1000745-NP (CO). The NPI Number for TYLER HIGAKI is 1104612175

Main info

Organization
2 Years Of Experience
Accepts Medicare Assignment
Name
TYLER HIGAKI
NPI
1104612175
Phone
Not provided
Address
1115 ELKTON DR STE 300
Enumeration Date
16 April 2025
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7193739703
Graduation Year
2024 (2 years ago)
PAC ID
8820514060
Group Practice PAC ID
8123388527
Professional Enrollment ID
I20250430001397
Address ID
CO809073597CO1115XDRXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for TYLER HIGAKI

  • 1115 ELKTON DR STE 300

    COLORADO SPRINGS, CO 809073597

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250430001397INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123388527View full group profile
NameSpecialtyState
P S Y C H I A T R YCO
Nurse PractitionerFL
Nurse PractitionerCO
Physician AssistantCO
-AZ
Physician AssistantCO
Physician AssistantFL
Physician AssistantCO
Clinical PsychologistCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What is TYLER HIGAKI's NPI number?
TYLER HIGAKI's NPI is 1104612175 — the number used across U.S. healthcare to identify this provider.
Is TYLER HIGAKI shown as active in public data?
Registry records indicate TYLER HIGAKI maintains an active NPI.
What clinical focus is listed for TYLER HIGAKI?
At a glance, TYLER HIGAKI is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Colorado is TYLER HIGAKI registered?
Use Colorado Springs, Colorado as the headline location for TYLER HIGAKI here.
Can I trust this NPI listing for TYLER HIGAKI?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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