Individual provider Active NPI

Michael Leon Gaines, FNP-C

  • Family Nurse Practitioner
  • Port Lavaca, TX
National Provider Identifier
1043734882
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134737 Issued in TX
Practice address
815 N Virginia St FL 2
Port Lavaca, TX 77979-3025
Phone
(361) 552-0379
Fax
(361) 500-6904
NPI assigned
Aug 2, 2017
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134737 TX Primary

Addresses

Primary practice location

815 N Virginia St FL 2
Port Lavaca, TX 77979-3025

Mailing address

220 Bonham St
Port Lavaca, TX 77979-2605
Phone (361) 935-5027

Other practice location 1

220 Bonham St
Port Lavaca, TX 77979-2605
Phone (361) 935-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002003044 TX Practitioner - Nurse Practitioner 6204101264 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Medical CenterGroup PAC ID 3072403096, 16 clinicians

Practice addresses (Care Compare)

1016 N Virginia St
Port Lavaca, TX 77979-3000

108 Twin Fountains Dr
Victoria, TX 77904-4203
Phone (361) 578-3363

1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100

3002 Sam Houston Dr
Victoria, TX 77904-2682
Phone (361) 578-5730

603 State Hwy 35 S
Port Lavaca, TX 77979-2411
Phone (361) 553-6400

815 N Virginia St
Port Lavaca, TX 77979-3025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134737TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Oct 1, 2021 Accepting new patients
Nluc PLLC CurrentSince Oct 1, 2021 Accepting new patients
Next Level MV LLC CurrentSince Oct 1, 2021 Accepting new patients
Concord Medical Group PLLC CurrentSince Dec 23, 2018 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Aug 2, 2022 Accepting new patients
Memorial Medical Center CurrentSince May 18, 2018 Accepting new patients
Lone Star Emergency Associates LLC CurrentSince Apr 1, 2018 Accepting new patients
Nluc PLLC CurrentSince Oct 1, 2021 Accepting new patients
Nluc PLLC Current Accepting new patients
Memorial Medical Center CurrentSince May 18, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 23, 2018 Accepting new patients
Palacios Community Medical Center CurrentSince Jun 1, 2018 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Aug 2, 2022 Accepting new patients
Ess of Port Lavaca LLC CurrentSince Sep 1, 2017 Accepting new patients
Palacios Community Medical Center CurrentSince Jun 1, 2018 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

7710 Garth Rd
Ste A
Baytown, TX 77521

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

311 Green Ave
Palacios, TX 77465
Phone (361) 972-2511

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

1016 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

815 N Virginia St
Fl 2
Port Lavaca, TX 77979
Phone (361) 552-0325

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: michael.gainesfnp.p6@direct.nextcare.nextgenshare.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1043734882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BONHAM ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792605",
            "telephone_number": "361-935-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N VIRGINIA ST FL 2",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793025",
            "telephone_number": "361-552-0379",
            "fax_number": "361-500-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Bonham St",
            "address_purpose": "LOCATION",
            "city": "Port Lavaca",
            "state": "TX",
            "postal_code": "779792605",
            "country_code": "US",
            "telephone_number": "361-935-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINES",
        "first_name": "MICHAEL",
        "middle_name": "LEON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Lavaca, TX

Sources for this page

Verify at the official NPI Registry.