AUSTIN IVINS HIGGINSON (PA-C) – Physician Assistant, NPI 1134635790

AUSTIN IVINS HIGGINSON (PA-C) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for AUSTIN IVINS HIGGINSON (PA-C) is 1134635790

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
AUSTIN IVINS HIGGINSON (PA-C)
NPI
1134635790
Phone
(801) 520-1156
Address
3011 S KENWOOD ST
Enumeration Date
19 December 2017
Last Update Date
4 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088148000
Graduation Year
2017 (9 years ago)
PAC ID
1153685151
Group Practice PAC ID
1052217478
Professional Enrollment ID
I20200717002395
Address ID
ID833161849BU980XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for AUSTIN IVINS HIGGINSON (PA-C)

  • 3011, South Kenwood Street, Millcreek, Salt Lake County, Utah, 84106, United States

    SALT LAKE CITY, UT 841063704

    Phone: (801) 520-1156

    Type: Mailing

  • 980 BURLEY AVE

    BUHL, ID 833161849

    Phone: (208) 814-9150

    Type: Mailing

  • Tatone Street, Boardman, Morrow County, Oregon, 97818, United States

    BOARDMAN, OR 978188076

    Phone: (541) 481-7212

    Fax: (541) 481-7212

    Type: Location

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: 2020-07-17

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
I20200717002395IPhysician AssistantIDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes216150$0
99214Established patient office or other outpatient visit, 30-39 minutes4936$0
99212Established patient office or other outpatient visit, 10-19 minutes1817$0
99495Transitional care management services for problem of at least moderate complexity1211$0
View full utilization report →

Insurance plans in this area (ZIP 84106)

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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: 1052217478View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)ID
Clinical PsychologistND
A N E S T H E S I O L O G YID
-UT
Diagnostic RadiologyOR
Physician AssistantID
Family PracticeID
O B S T E T R I C S/ G Y N E C O L O G YID
Nurse PractitionerID

Reviews

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Frequently asked questions

Can I use this page to confirm AUSTIN IVINS HIGGINSON (PA-C)'s NPI?
Yes. AUSTIN IVINS HIGGINSON (PA-C) is listed with NPI 1134635790 in the public NPI dataset.
Can I rely on AUSTIN IVINS HIGGINSON (PA-C) being an active provider?
As of the registry snapshot, AUSTIN IVINS HIGGINSON (PA-C) is marked active.
What taxonomy line describes AUSTIN IVINS HIGGINSON (PA-C)?
For research purposes, treat AUSTIN IVINS HIGGINSON (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect AUSTIN IVINS HIGGINSON (PA-C) on a map?
Expect Salt Lake City, Utah as a primary anchor for AUSTIN IVINS HIGGINSON (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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