Individual provider Active NPI

Leila Monique Gaines, APRN-C

  • Adult Health Nurse Practitioner
  • Sun City Center, FL
National Provider Identifier
1861596405
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11024942 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7857900MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090608000016 NJ Practitioner - Nurse Practitioner 0547310997 Reassigns benefits to 2 organizations
I20220105000492 DE Practitioner - Nurse Practitioner 0547310997 Reassigns benefits to 1 organization
I20250106000022 FL Practitioner - Nurse Practitioner 0547310997 Reassigns benefits to 1 organization

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
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

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

LicenseStateTypeSpecialty
26NN09759200NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince May 29, 2012 Accepting new patients
Optumcare Florida LLC CurrentSince Jan 6, 2025 Accepting new patients
Family Practice Associates, PA CurrentSince Oct 10, 2023 Accepting new patients
Atlanticare Physician Group PA CurrentSince May 29, 2012 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Nov 14, 2016 Accepting new patients
Optumcare Florida, LLC CurrentSince Jan 6, 2025 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

  • Direct secure messaging: leila.gaines@480561845370884.direct.elationemr.com
  • Direct secure messaging: lgaines288586@direct.ochin.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.