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CALESHIA GAINES PMHNP-BC
NPI 1841020773
Nurse Practitioner - Psychiatric/Mental Health in Zachary, LA

Active since August 05, 2024PECOS EnrolledAccepts Medicare Assignment
6351 MAIN ST, ZACHARY, LA 70791(225) 306-2026 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2025, Aug 5, 2024 (2 updates tracked since 2024).

About Caleshia Gaines Pmhnp-bc NPPES

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

CALESHIA GAINES PMHNP-BC (NPI 1841020773) is an individual psychiatric/mental health provider in Zachary, Louisiana, licensed in Louisiana (234702) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841020773
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCALESHIA GAINESCredential: PMHNP-BC
Location Address6351 MAIN STZachary, LA 70791-4038
Mailing AddressPo Box 770Zachary, LA 70791-0770 · (225) 306-2026
Phone(225) 306-2026
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 5, 2024
Last NPPES UpdateJanuary 2, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1841020773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in LA · 234702✔ Licensed in MS · 906626
6351 MAIN ST, Zachary, LA 70791
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

Caleshia Gaines Pmhnp-bc 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 ID2860922978
PECOS Enrollment IDI20250205000057
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 Caleshia Gaines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Community Health Systems
Same address
Federally Qualified Health Center (FQHC)
6351 MAIN ST
Zachary, LA 70791
  • Reassigned Medicare billing, Louisiana enrollment
  • 30 clinicians in this Medicare group
NPI 1538398730 (225) 306-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70791 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 13

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

MS. AMBREA LEE FNP
Nurse Practitioner
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 206-4168
DR. KHUONG NGUYEN CHEUK D.D.S.
Dentist (General Practice)
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
SARAH SMITH RDH
Dental Hygienist
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
DR. LARA MCINTYRE AGUIRRE DNP, APRN
Nurse Practitioner (Family)
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
DR. KEITH WESTERFIELD PHD, MP
Psychologist (Prescribing (Medical))
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2055
LISA BROADNAX MED
Counselor (Addiction (Substance Use Disorder))
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
SOUTHEAST COMMUNITY HEALTH SYSTEMS
Clinic/Center (Federally Qualified Health Center (FQHC))
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000
SCHS- YOUTH MOBILE CRISIS SERVICES ZACH
Clinic/Center (Mental Health (Including Community Mental Health Center))
6351 MAIN ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 306-2000

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 Caleshia Gaines's NPI number?

The NPI number for Caleshia Gaines is 1841020773. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Caleshia Gaines located?

Caleshia Gaines practices at 6351 Main St, Zachary, LA 70791. The listed phone number is (225) 306-2026.

What is Caleshia Gaines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Caleshia Gaines enrolled in Medicare?

Yes. Caleshia 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 Caleshia Gaines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleshia Gaines reassigns Medicare benefits to Southeast Community Health Systems (Zachary, LA). 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 Caleshia Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caleshia Gaines accept?

Health plans from AmeriHealth Caritas Next list Caleshia 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.

When was this NPI record last updated?

The NPPES record for Caleshia Gaines was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.