LEILA M GAINES APN-C NPI 1861596405

Nurse Practitioner (Adult Health) in Brigantine, NJ

NPI 1861596405 Individual Female Years of Experience 25 Nurse Practitioner Adult Health PECOS Enrolled Accepts Medicare Approved Payment

About LEILA GAINES

Leila Gaines is a provider established in Brigantine, New Jersey and her medical specialization is nurse practitioner (adult health) with more than 25 years of experience. She graduated from Perelman School Of Med At The University Of Pennsylvania in 1997. The NPI number of Leila Gaines is 1861596405 and was assigned on September 2006. The practitioner's primary taxonomy code is 363LA2200X with license number 26NN09759200 (NJ). The provider is registered as an individual and her NPI record was last updated 12 years ago.

A nurse practitioner (NP) like Leila M Gaines Apn-c is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Leila Gaines is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Leila Gaines is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1861596405

Provider Name LEILA M GAINES APN-C
Provider Location Address353 12TH ST S BRIGANTINE, NJ 08203
Provider Mailing Address353 12TH STREET SOUTH BRIGANTINE MEDICAL GROUP BRIGANTINE, NJ 08203
GenderFemale
NPI Entity TypeIndividual
Medical School NamePERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year1997
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-12-2006
Last Update Date03-12-2010


Primary Taxonomy

Taxonomy Code363LA2200X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAdult Health
License No.26NN09759200
License StateNJ

Business Address

LEILA M GAINES APN-C
353 12TH ST S
BRIGANTINE, NJ
ZIP 08203
Phone: (609) 266-7557
Fax: (609) 266-4450

Get Directions


Mailing Address

LEILA M GAINES APN-C
353 12TH STREET SOUTH
BRIGANTINE MEDICAL GROUP
BRIGANTINE, NJ
ZIP 08203
Phone: (609) 266-7557
Fax: (609) 266-4450



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID547310997
PECOS Enrollment IDI20090608000016
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 59Administration of pneumococcal vaccine (HCPCS:G0009)
  • 56Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 49Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 40Administration of influenza virus vaccine (HCPCS:G0008)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7857900MEDICAID (05)NJ
S69924MEDICARE UPIN (02)NJ
022416DR7MEDICARE ID-TYPE UNSPECIFIED (04)NJ

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669462735BRIGANTINE MEDICAL GROUP PA
Organization
Family Medicine (Adult Medicine)353 12TH ST S
BRIGANTINE, NJ 08203
(609) 266-7557
1104011238MRS. ANN M CWIKLINSKI RN,APN,C
Individual
Nurse Practitioner (Adult Health)353 12TH ST S
BRIGANTINE, NJ 08203
(609) 266-7557
1669616058MS. HANNAH CHAIKIN RD
Individual
Dietitian, Registered353 12TH ST S
BRIGANTINE, NJ 08203
(609) 266-7557

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.