Active NPI
Leila Monique Gaines, APRN-C
- Adult Health Nurse Practitioner
- Sun City Center, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11024942
- Practice address
- 787 Cortaro Dr
Sun City Center, FL 33573-6812 - Phone
- (813) 634-2500
- Fax
- (813) 634-3008
- NPI assigned
- Sep 12, 2006
- Last updated
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NN09759200 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | LP-0010411 | DE | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11024942 | FL | Primary |
Addresses
Primary practice location
787 Cortaro Dr
Sun City Center, FL 33573-6812
Mailing address
787 Cortaro Dr
Sun City Center, FL 33573-6812
Phone (813) 634-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7857900 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, DE, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
787 Cortaro Dr
Ruskin, FL 33573-6812
Phone (813) 633-9443
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN09759200 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Optumcare Florida LLC | Current | Accepting new patients | |
| Family Practice Associates, PA | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Southern Jersey Family Medical Centers, Inc | Current | Accepting new patients | |
| Optumcare Florida, LLC | Current | Accepting new patients | |
| Atlanticare Physician Group | Past | Accepting new patients |
Locations
1100 S Broom St
Wilmington, DE 19805
Phone (302) 510-4302
1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
787 Cortaro Dr
Sun City Ctr, FL 33573
Phone (813) 633-9443
2500 English Creek Ave
Ste 602
Egg Harbor Twp, NJ 08234
Phone (609) 272-6340
860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
932 S Main St
Pleasantville, NJ 08232
Phone (609) 383-0880
Interoperability endpoints
- leila.gaines@480561845370884.direct.elationemr.com
- lgaines288586@direct.ochin.org
- monique.gaines@118277986320388.direct.elationemr.com
Organizations & group practices 7
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.
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1053426692
-
- Federally Qualified Health Center (FQHC)
- Hammonton, NJ
- NPI 1568473973
-
dba AtlantiCare Urgent Care
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
dba AtlantiCare Internal Medicine
- Primary Care Clinic/Center
- Ventnor City, NJ
- NPI 1194839910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1861596405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "787 CORTARO DR",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736812",
"telephone_number": "813-634-2500",
"fax_number": "813-634-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "787 CORTARO DR",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736812",
"telephone_number": "813-634-2500",
"fax_number": "813-634-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "LEILA",
"middle_name": "MONIQUE",
"credential": "APRN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NN09759200",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "DE",
"license": "LP-0010411",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11024942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7857900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.