Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIANA GAINES APRN
NPI 1093120206
Nurse Practitioner - Family in Marion, KS

Active since June 25, 2014PECOS Enrolled
70.03/100
CMS Quality Rating
537 S FREEBORN ST, MARION, KS 66861(620) 382-2033(877) 409-1174 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Dec 2, 2015 (2 updates tracked since 2015).

About Tiana Gaines Aprn NPPES

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

TIANA GAINES APRN (NPI 1093120206) is an individual family provider in Marion, Kansas, licensed in Kansas (76469) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Nmc Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1093120206
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIANA GAINESCredential: APRN
Location Address537 S FREEBORN STMarion, KS 66861-1256
Mailing Address9434 Ne 96th StPeabody, KS 66866-9018 · (316) 689-9135
Fax(877) 409-1174
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 25, 2014
Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1093120206 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 KS · 76469
537 S FREEBORN ST, Marion, KS 66861

Other Names 1

Former Name (1)Tiana Mcgee

Accepted 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

Tiana Gaines Aprn 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 ID8628296282
PECOS Enrollment IDI20140825001021
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 Reassignment

Medicare enrollment records show Tiana Gaines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
537 S FREEBORN ST
Marion, KS 66861
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1326087966 (Kansas)
  • 37 clinicians in this Medicare group

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 12

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
180 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
128 services116 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
108 services95 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
70 services65 patients
X-ray of hip, 1 view 73501
An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.
69 services54 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
32 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Nmc Health

Acute Care Hospitals · Newton, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170103
Location600 Medical Center DriveNewton, KS 67114 · Harvey County
Emergency services

St Luke Hospital & Living Center

Critical Access Hospitals · Marion, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171356
Location535 South FreebornMarion, KS 66861 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66861 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

70.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.51
Promoting Interoperability98
Improvement Activities40
Cost45.26

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers11 claims11 services$49.01 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 11

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

Nurse Practitioner (Family)
537 S FREEBORN ST
MARION, KS 66861
Family Medicine
537 S FREEBORN ST
MARION, KS 66861
Physician Assistant (Medical)
537 S FREEBORN ST
MARION, KS 66861
Clinic/Center (Rural Health)
537 S FREEBORN ST
MARION, KS 66861
Family Medicine
537 S FREEBORN ST
MARION, KS 66861
Nurse Practitioner (Family)
537 S FREEBORN ST
MARION, KS 66861
Family Medicine
537 S FREEBORN ST
MARION, KS 66861
Nurse Practitioner
537 S FREEBORN ST
MARION, KS 66861

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 Tiana Gaines's NPI number?

The NPI number for Tiana Gaines is 1093120206. It was assigned to this individual provider in the NPPES registry on June 25, 2014. The provider is also known as Tiana Mcgee.

Where is Tiana Gaines located?

Tiana Gaines practices at 537 S Freeborn St, Marion, KS 66861. The listed phone number is (620) 382-2033.

What is Tiana Gaines's specialty?

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

Is Tiana Gaines enrolled in Medicare?

Yes. Tiana 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 organization bills Medicare for Tiana Gaines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiana Gaines reassigns Medicare benefits to Hospital District No 1 Marion Co (Marion, KS). The 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 Tiana Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiana Gaines accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Tiana 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 Tiana Gaines affiliated with any hospitals?

According to CMS data, Tiana Gaines is affiliated with Nmc Health and St Luke Hospital & Living Center.

When was this NPI record last updated?

The NPPES record for Tiana Gaines was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.