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LACOSTA KAY GAINES DNP, APRN, FNP-C
NPI 1003287848
Nurse Practitioner - Family in Shelbina, MO

Active since October 19, 2015PECOS EnrolledAccepts Medicare Assignment
400 S CENTER ST, SHELBINA, MO 63468(573) 588-4131(573) 588-4876 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lacosta Kay Gaines Dnp, Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACOSTA KAY GAINES DNP, APRN, FNP-C (NPI 1003287848) is an individual family provider in Shelbina, Missouri, licensed in Missouri (2015035184) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Hannibal Regional Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (2015).

NPPES Registry Identity

NPI1003287848
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACOSTA KAY GAINESCredential: DNP, APRN, FNP-C
Location Address400 S CENTER STShelbina, MO 63468-1404
Mailing Address400 S Center StShelbina, MO 63468-1404 · (573) 588-4131 · Fax (573) 588-4876
Phone(573) 588-4131
Fax(573) 588-4876
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2015
Enumeration DateOctober 19, 2015
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1003287848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2015035184
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 2015035184 (MO)
400 S CENTER ST, Shelbina, MO 63468
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lacosta Kay Gaines Dnp, Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496055428
PECOS Enrollment IDI20151124001344
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63468 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
48%357 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
13%151 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
85%151 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,686 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
51%373 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%752 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 395 patients
Patients tobacco: 26% · 42 patients
90%395 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers21 claims53 services$5.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$98.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers16 claims41 services$41.76 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$19.61 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers17 claims17 services$19.92 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers23 claims106 services$2.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNIBAL REGIONAL HEALTH CARE SYSTEM
Clinic/Center (Health Service)
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131
DR. DAVID F. OUELLETTE M.D.
Family Medicine
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131
HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC
Clinic/Center (Rural Health)
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131
DR. WENDELL ALLAN NICKERSON D.O.
Family Medicine
400 S CENTER ST
SHELBINA, MO 63468
Shelby County (573) 588-4131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacosta Gaines's NPI number?

The NPI number for Lacosta Gaines is 1003287848. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Where is Lacosta Gaines located?

Lacosta Gaines practices at 400 S Center St, Shelbina, MO 63468. The listed phone number is (573) 588-4131.

What is Lacosta Gaines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lacosta Gaines enrolled in Medicare?

Yes. Lacosta Gaines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lacosta Gaines affiliated with any hospitals?

According to CMS data, Lacosta Gaines is affiliated with Hannibal Regional Hospital and Boone Hospital Center.

When was this NPI record last updated?

The NPPES record for Lacosta Gaines was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.