LEILA MONIQUE GAINES APRN-C
NPI 1861596405
Nurse Practitioner - Adult Health in Sun City Center, FL

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
787 CORTARO DR, SUN CITY CENTER, FL 33573(813) 634-2500(813) 634-3008 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2025, Jan 24, 2022 (2 updates tracked since 2022).

About Leila Monique Gaines Aprn-c NPPES

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

LEILA MONIQUE GAINES APRN-C (NPI 1861596405) is an individual adult health provider in Sun City Center, Florida, licensed in Florida (APRN11024942) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1861596405
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLEILA MONIQUE GAINESCredential: APRN-C
Location Address787 CORTARO DRSun City Center, FL 33573-6812
Mailing Address787 Cortaro DrSun City Center, FL 33573-6812 · (813) 634-2500 · Fax (813) 634-3008
Fax(813) 634-3008
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1861596405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in FL · APRN11024942✔ Licensed in NJ · 26NN09759200✔ Licensed in DE · LP-0010411
787 CORTARO DR, Sun City Center, FL 33573

Other Identifiers 1

Medicaid7857900NJ

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

Leila Monique Gaines Aprn-c 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 ID547310997
PECOS Enrollment IDI20250106000022
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 Reassignments

4

Medicare enrollment records show Leila Gaines reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
5130 SUNFOREST DR STE 300
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 315 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
238 E BROADWAY
Salem, NJ 08079
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group
Family Medicine
1100 S BROOM ST
Wilmington, DE 19805
  • Reassigned Medicare billing, Delaware enrollment
  • 8 clinicians in this Medicare group
Clinic/Center
2500 ENGLISH CREEK AVE STE 602
Egg Harbor Township, NJ 08234
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33573 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 9

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

Radiology (Diagnostic Radiology)
787 CORTARO DR, JSA SUN CITY CENTER
RUSKIN, FL 33573
Family Medicine
787 CORTARO DR
RUSKIN, FL 33573
Internal Medicine
787 CORTARO DR
SUN CITY CENTER, FL 33573
Internal Medicine
787 CORTARO DR
RUSKIN, FL 33573
Internal Medicine
787 CORTARO DR
RUSKIN, FL 33573
Family Medicine
787 CORTARO DR
RUSKIN, FL 33573
Internal Medicine
787 CORTARO DR
RUSKIN, FL 33573
Physician Assistant
787 CORTARO DR
SUN CITY CENTER, FL 33573

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 Leila Gaines's NPI number?

The NPI number for Leila Gaines is 1861596405. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Leila Gaines located?

Leila Gaines practices at 787 Cortaro Dr, Sun City Center, FL 33573. The listed phone number is (813) 634-2500.

What is Leila Gaines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Leila Gaines enrolled in Medicare?

Yes. Leila 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 Leila Gaines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leila Gaines reassigns Medicare benefits to 4 organizations: Optumcare Florida LLC (Tampa, FL), Southern Jersey Family Medical Centers, Inc. (Salem, NJ), Family Practice Associates, PA (Wilmington, DE) and Atlanticare Physician Group PA (Egg Harbor Township, NJ). 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 Leila Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leila Gaines was last updated on January 6, 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.