LAURA GAINES MSN, FNP-BC
NPI 1861092371
Nurse Practitioner - Family in Indiana, PA

Active since October 26, 2020PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
2501 WARREN RD, INDIANA, PA 15701(724) 349-5620 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2021, Apr 8, 2021, Oct 27, 2020 (3 updates tracked since 2020).

About Laura Gaines Msn, Fnp-bc NPPES

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

LAURA GAINES MSN, FNP-BC (NPI 1861092371) is an individual family provider in Indiana, Pennsylvania, licensed in Pennsylvania (SP022453) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861092371
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAURA GAINESCredential: MSN, FNP-BC
Location Address2501 WARREN RDIndiana, PA 15701-3280
Mailing Address305 7th StNew Kensington, PA 15068-6529
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 26, 2020
Last NPPES UpdateAugust 25, 20213 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
NPI 1861092371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP022453
Also ListedRegistered NurseTaxonomy 163W00000X · License RN731521 (PA)
2501 WARREN RD, Indiana, PA 15701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Laura Gaines Msn, Fnp-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 ID7012321516
PECOS Enrollment IDI20241224000023
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.

Areas of Expertise CMS Part B claims

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.
22 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.25 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims15 services$29.08 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 8

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

Nurse Practitioner (Family)
2501 WARREN RD
INDIANA, PA 15701
Pharmacist
2501 WARREN RD
INDIANA, PA 15701
Pharmacist
2501 WARREN RD
INDIANA, PA 15701
Pharmacist
2501 WARREN RD
INDIANA, PA 15701
Nurse Practitioner (Family)
2501 WARREN RD
INDIANA, PA 15701
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2501 WARREN RD
INDIANA, PA 15701
Pharmacy
2501 WARREN RD
INDIANA, PA 15701
Nurse Practitioner (Family)
2501 WARREN RD
INDIANA, PA 15701

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 Laura Gaines's NPI number?

The NPI number for Laura Gaines is 1861092371. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Laura Gaines located?

Laura Gaines practices at 2501 Warren Rd, Indiana, PA 15701. The listed phone number is (724) 349-5620.

What is Laura Gaines's specialty?

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

Is Laura Gaines enrolled in Medicare?

Yes. Laura 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.

What insurance does Laura Gaines accept?

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

According to CMS data, Laura Gaines is affiliated with Massachusetts General Hospital and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Laura Gaines was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.