NPPES file of Aug 9, 2026

Lacosta Kay Gaines, DNP, APRN, FNP-C

Family Nurse Practitioner · Shelbina, MO

Lacosta Kay Gaines, DNP, APRN, FNP-C is a family nurse practitioner with a practice address in Shelbina, Missouri, and NPI 1003287848, issued on Oct 19, 2015. Check the license (Missouri 2015035184, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1003287848
Name
Lacosta Kay Gaines
Credential
DNP, APRN, FNP-C
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
2015035184 MO
Self-reported in NPPES; status is on the state search
Practice location
400 S Center St, Shelbina, MO 63468
Phone
(573) 588-4131
Enumerated
Oct 19, 2015
Record last updated
Sep 25, 2023
Fax
(573) 588-4876
Medicare enrollment
Enrolled (PECOS I20151124001344); accepts Medicare assignment
Medical or professional school
University Of Missouri, Columbia School Of Medicine, 2015
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 400 S Center St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Wendell Nickerson, D.O.Family Medicine Physician1437249588
  2. David Ouellette, M.D.Family Medicine Physician1093794588

Verify Lacosta Kay Gaines in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 2015035184
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

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4.4 times the Medicare Part D claims of the average family nurse practitioner in 2024

5,764 Medicare Part D claims for 358 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.

  1. Lacosta Gaines5,764
  2. Specialty average1,305

Most prescribed

  1. Levothyroxine Sodium267 claims
  2. Atorvastatin Calcium261 claims
  3. Amlodipine Besylate215 claims
  4. Lisinopril205 claims
  5. Losartan Potassium170 claims
  6. Pantoprazole Sodium153 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $203.38

11 payments; by number, the most common kind was food and beverage; the largest payer was Otsuka America Pharmaceutical, Inc. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Lacosta Gaines$203.38
  2. Specialty average$650.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Hannibal Regional Healthcare System IncLouisiana, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Lacosta Kay Gaines among 5,226 family nurse practitioner records in Missouri

Lacosta Kay Gaines, DNP, APRN, FNP-C is one of 5,226 family nurse practitioner records with a practice address in Missouri. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 34% of them.

  • NPI issued2015 · 34% of these records are older, 60% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2015 · median 2018 among the 3,339 with a school on file
  • Record last updated2023 · 44% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 family nurse practitioner record lists a practice address in Shelbina

They are 1 of the 11 NPPES records with a practice address in Shelbina, and 5,226 family nurse practitioner records in Missouri.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Amber Gottman, NP-CPalmyra, MO 634611831589944
  2. Traci Kline, FNPPalmyra, MO 634611467767095
  3. Karen Grawe, FNP-BCMonroe City, MO 634561376772962
  4. Ashley Lanpher, RN BSN APRN FNP-CMonroe City, MO 634561245828714
  5. Lisa OrtonMonroe City, MO 634561386274843
  6. Allison RodgersMonroe City, MO 634561902567985
  7. Anita Arnold, FNP-CLewistown, MO 634521881836757
  8. Penny Buening, APRNLewistown, MO 634521376351189

Common questions

What is Lacosta Kay Gaines, DNP, APRN, FNP-C's NPI number?

Lacosta Kay Gaines, DNP, APRN, FNP-C's National Provider Identifier (NPI) is 1003287848, issued on Oct 19, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Lacosta Kay Gaines, DNP, APRN, FNP-C located?

The NPPES record lists a practice address at 400 S Center St, Shelbina, MO, 63468. Phone: (573) 588-4131. Providers update this record themselves, so call before visiting.

How can I verify Lacosta Kay Gaines, DNP, APRN, FNP-C's license?

NPPES lists Missouri license number 2015035184, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

How much does Lacosta Kay Gaines, DNP, APRN, FNP-C prescribe under Medicare Part D?

In 2024, Lacosta Kay Gaines, DNP, APRN, FNP-C had 5,764 Medicare Part D claims for 358 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.