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MICHAEL LEON GAINES FNP-C
NPI 1043734882
Nurse Practitioner - Family in Port Lavaca, TX

Active since August 02, 2017PECOS EnrolledAccepts Medicare Assignment
815 N VIRGINIA ST FL 2, PORT LAVACA, TX 77979(361) 552-0379(361) 500-6904 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Leon Gaines Fnp-c NPPES

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

MICHAEL LEON GAINES FNP-C (NPI 1043734882) is an individual family provider in Port Lavaca, Texas, licensed in Texas (AP134737) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Port Lavaca.

NPPES Registry Identity

NPI1043734882
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL LEON GAINESCredential: FNP-C
Location Address815 N VIRGINIA ST FL 2Port Lavaca, TX 77979-3025
Mailing Address220 Bonham StPort Lavaca, TX 77979-2605 · (361) 935-5027
Phone(361) 552-0379
Fax(361) 500-6904
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 2, 2017
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1043734882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP134737
815 N VIRGINIA ST FL 2, Port Lavaca, TX 77979
Open in Google Maps ↗

Secondary Practice Location 1

Location 1220 Bonham StPort Lavaca, TX 77979-2605 · Phone (361) 935-5027

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Leon Gaines 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 ID6204101264
PECOS Enrollment IDI20171002003044
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Michael Gaines reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ess Of Port Lavaca LLC
Same address
Emergency Medicine
815 N VIRGINIA ST
Port Lavaca, TX 77979
  • Reassigned Medicare billing, Texas enrollment
  • 109 clinicians in this Medicare group
NPI 1922546936 (361) 552-6713
Memorial Medical Center
1.1 mi
Surgery
815 N VIRGINIA ST
Port Lavaca, TX 77979
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1104203181 (361) 552-6713
Lone Star Emergency Associates LLC
26 mi
Emergency Medicine
506 E SAN ANTONIO ST
Victoria, TX 77901
  • Reassigned Medicare billing, Texas enrollment
  • 118 clinicians in this Medicare group
NPI 1457709040 (361) 575-7441
Palacios Community Medical Center
26 mi
Critical Access
311 GREEN AVE
Palacios, TX 77465
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1780786699 (361) 972-2511
Nluc PLLC
91 mi
Urgent Care
9722 GASTON RD STE 190
Katy, TX 77494
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
NPI 1972152965 (281) 783-8162
Next Level Mv LLC
101 mi
Urgent Care
8325 BROADWAY ST STE 220
Pearland, TX 77581
  • Reassigned Medicare billing, Texas enrollment
  • 301 clinicians in this Medicare group
NPI 1013432285 (281) 201-0657
Ucp Physicians Of Central Texas, PLLC
133 mi
Urgent Care
6001 W WILLIAM CANNON DR STE 302
Austin, TX 78749
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
NPI 1154472967 (512) 288-3627
Concord Medical Group PLLC
461 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
NPI 1083630610 (888) 264-0330
Concord Medical Group Of Texas PLLC
461 mi
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
NPI 1750790762 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
360 services36 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
93 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
75 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services47 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Critical Access Hospitals · Port Lavaca, TX
OwnershipGovernment - Local
CMS Certification Number451356
Location701 N Virginia StPort Lavaca, TX 77979 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77979 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

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

MRS. MERCEDES SCHULTZ MD
Obstetrics & Gynecology
815 N VIRGINIA ST FL 2
PORT LAVACA, TX 77979
Calhoun County (361) 552-0325
MEMORIAL MEDICAL CENTER
Clinic/Center (Rural Health)
815 N VIRGINIA ST FL 2
PORT LAVACA, TX 77979
Calhoun County (361) 552-0379
DR. JERRY LEE FOLLOWWILL M.D.
Orthopaedic Surgery
815 N VIRGINIA ST FL 2
PORT LAVACA, TX 77979
Calhoun County (361) 552-0379

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 Michael Gaines's NPI number?

The NPI number for Michael Gaines is 1043734882. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Michael Gaines located?

Michael Gaines practices at 815 N Virginia St Fl 2, Port Lavaca, TX 77979. The listed phone number is (361) 552-0379.

What is Michael Gaines's specialty?

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

Is Michael Gaines enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Gaines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gaines reassigns Medicare benefits to 9 organizations: Ess Of Port Lavaca LLC (Port Lavaca, TX), Memorial Medical Center (Port Lavaca, TX), Lone Star Emergency Associates LLC (Victoria, TX), Palacios Community Medical Center (Palacios, TX), Nluc PLLC (Katy, TX) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Gaines accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Michael Gaines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Gaines affiliated with any hospitals?

According to CMS data, Michael Gaines is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Gaines was last updated on October 14, 2024. 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.