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JENNIFER S. GAINES NP
NPI 1265596258
Nurse Practitioner in Evansville, IN

Active since December 21, 2006PECOS EnrolledAccepts Medicare Assignment
95.57/100
CMS Quality Rating
14020 OLD STATE RD STE 400, EVANSVILLE, IN 47725(812) 428-2746 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer S. Gaines Np NPPES

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

JENNIFER S. GAINES NP (NPI 1265596258) is an individual nurse practitioner in Evansville, Indiana, licensed in Indiana (71001650A) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265596258
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER S. GAINESCredential: NP
Location Address14020 OLD STATE RD STE 400Evansville, IN 47725-1121
Mailing Address14020 Old State Rd Ste C400Evansville, IN 47725-0002
Phone(812) 428-2746
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 21, 2006
Last NPPES UpdateJune 22, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1265596258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71001650A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
14020 OLD STATE RD STE 400, Evansville, IN 47725
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Other Identifiers 3

Other200859330QIN · Medicaid Group
Medicaid200961400IN
Other1578786612Group Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Jennifer S. Gaines Np 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 ID3274677786
PECOS Enrollment IDI20100222000907
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 Jennifer Gaines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Mary's Medical Group, LLC
10 mi
Family Medicine
3700 WASHINGTON AVE
Evansville, IN 47750
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: St Marys Medical Group LLC
  • 288 clinicians in this Medicare group
NPI 1164852539 (812) 485-4000

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.

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.
271 services142 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.
123 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
80 services80 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Women's Hospital The

Acute Care Hospitals · Newburgh, IN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number150149
Location4199 Gateway BlvdNewburgh, IN 47630 · Warrick County
Emergency services Birthing friendly

Gibson General Hospital

Critical Access Hospitals · Princeton, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151319
Location1808 Sherman DrPrinceton, IN 47670 · Gibson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47725 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

95.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.32
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
80%235 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
72%225 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
91%416 patients5/55-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
69%62 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%3,990 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
38%440 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%112 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
46%1,011 patients2/55-star benchmark: 97%
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…
88%898 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%1,011 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
100%1,011 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
53%1,011 patients
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.

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 Jennifer Gaines's NPI number?

The NPI number for Jennifer Gaines is 1265596258. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Jennifer Gaines located?

Jennifer Gaines practices at 14020 Old State Rd Ste 400, Evansville, IN 47725. The listed phone number is (812) 428-2746.

What is Jennifer Gaines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Gaines enrolled in Medicare?

Yes. Jennifer 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 Jennifer Gaines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Gaines reassigns Medicare benefits to St Mary's Medical Group, LLC (Evansville, IN). 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 Jennifer Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Gaines accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Jennifer 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 Jennifer Gaines affiliated with any hospitals?

According to CMS data, Jennifer Gaines is affiliated with Ferrell Hospital Community Foundations, Deaconess Hospital Inc, Ascension St Vincent Evansville, Women's Hospital The and Gibson General Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Gaines was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.