Elizabeth Gaines, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0031479 Issued in OH

Practice address

5957 Galveston Rd
Belton, TX 76513-8496

Phone

(317) 402-9363

NPI assigned

Jun 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Behavioral Innovations LLCGroup PAC ID 6608286356, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Indiana Behavioral Innovations LLC

  • Psychiatric Hospital
  • Plainfield, IN
  • NPI 1922614825
  Medicare reassignment Care Compare group NPD
• Psychiatric Assessment Solutions, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Belton, TX
  • NPI 1538887419
  NPD Authorized official
• Hopewell Healthcare LLC

  • Geriatric Psychiatry Physician
  • Carmel, IN
  • NPI 1831804798
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1639809569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 GALVESTON RD",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765138496",
            "telephone_number": "317-402-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 GALVESTON RD",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765138496",
            "telephone_number": "317-402-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "ELIZABETH",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0031479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Frei, PT, DPT
• Blaine Spencer French, PA
• Traci French, MD, MBA
• Misty Fuentes
• Renee C. Fuller, LPC
• Ashten Noel Gallagher, LCSW
• Gallazart PLLC
• Gardner Counseling & Wellness PLLC
• Charles Joseph Gardner, D.C.
• Erin Sian Gardner, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Belton, TX
• Providers in Belton, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.