Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Leon Gaines, FNP-C

Individual provider Family Nurse Practitioner · NPI 1043734882

Michael Leon Gaines, FNP-C is a Nurse Practitioner in Port Lavaca, Texas. Qualified in 2017, 9 years ago. Practices with Memorial Medical Center, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

815 N Virginia St Fl 2
Port Lavaca, TX 77979-3025
Phone: (361) 552-0379
Fax: (361) 500-6904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP134737 (TX)

Record details

NPI number1043734882
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 2, 2017
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Memorial Medical Center — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Port Lavaca