MS. MONIQUE GAINES
NPI 1194104638
Social Worker - Clinical in Wayne, MI
About Ms. Monique Gaines NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MONIQUE GAINES (NPI 1194104638) is an individual clinical provider in Wayne, Michigan, licensed in Michigan (6801113563) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 4
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
Ms. Monique Gaines 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.
Medicare Billing Reassignments
2Medicare enrollment records show Monique Gaines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 81 clinicians in this Medicare group
Auburn Hills, MI 48326
- Reassigned Medicare billing, Michigan enrollment
- 253 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Health Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48184 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Monique Gaines's NPI number?
The NPI number for Monique Gaines is 1194104638. It was assigned to this individual provider in the NPPES registry on May 28, 2015.
Where is Monique Gaines located?
Monique Gaines practices at 35425 W Michigan Ave, Wayne, MI 48184. The listed phone number is (734) 722-6395.
What is Monique Gaines's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Monique Gaines enrolled in Medicare?
Yes. Monique 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 Monique Gaines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monique Gaines reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and Easterseals Morc Health Care, Inc. (Auburn Hills, MI). 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 Monique Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monique Gaines accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Monique 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 Monique Gaines affiliated with any hospitals?
According to CMS data, Monique Gaines is affiliated with Henry Ford Health Hospital.
When was this NPI record last updated?
The NPPES record for Monique Gaines was last updated on April 3, 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.
# Ms. Monique Gaines · NPI 1194104638
Clinical provider in Wayne, Michigan. Individual provider, active in the CMS NPPES registry since May 28, 2015.
## Identity
- **NPI:** 1194104638 (Entity type: Individual)
- **Enumerated:** May 28, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801113563 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 35425 W MICHIGAN AVE, Wayne, MI 48184-9800
- **Phone:** (734) 722-6395
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health System (NPI 1689732414, Detroit, MI); Easterseals Morc Health Care, Inc. (NPI 1376526616, Auburn Hills, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194104638) · Data from the CMS NPPES public registry.