Individual
SHANE M HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
640 S 19TH ST STE 100, NEVADA, IA 50201
(515) 382-5413
(515) 382-7107
Mailing address
640 S 19TH ST STE 100, NEVADA, IA 50201-2902
(515) 382-5413
(515) 382-7107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001492
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA1548
RR MEDICARE GROUP
—
01
—
P00709212
RR MEDICARE
—
Enumeration date
12/13/2005
Last updated
05/07/2026
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