Lacosta Kay Gaines, DNP, APRN, FNP-C
NPI 1003287848ActiveIndividual· Nurse Practitioner, Family· Shelbina, MO
Nurse Practitioner, Family (DNP, APRN, FNP-C) in Shelbina, Missouri, trained at University of Missouri, Columbia School of Medicine (class of 2015). Part D covered 5,764 prescriptions written in 2024, 90% of them generic. Astrazeneca Pharmaceuticals LP was the largest of 7 companies reporting payments in 2025, $285.23 in all, mostly food and beverage.
Overview
| NPI | 1003287848 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP, APRN, FNP-C |
| Sole proprietor | No |
| NPI issued | Oct 19, 2015 |
| Last updated in NPPES | Sep 25, 2023 |
| Certified by provider | Sep 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2015035184 | MO |
| Nurse Practitioner, Primary Care | 363LP2300X | 2015035184 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 5,764 · 10,745 30-day fills |
|---|---|
| Patients | 358 |
| Total drug cost | $289,311 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | University of Missouri, Columbia School of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Hannibal Regional Healthcare System IncHannibal, MO · 272 clinicians
Hospital affiliations
- Hannibal Regional HospitalHannibal, MO
- University of Missouri Health CareColumbia, MO
Other facilities
- Elara CaringHome health agency · Jefferson City, MO
- Lewis County Home Health AgencyHome health agency · Monticello, MO
- Baptist Homes of ShelbinaNursing home · Shelbina, MO
Industry payments (Open Payments)
- 2025$285.23 · 16 payments from 7 companies
- 2024$203.38 · 11 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $104.67 | 6 |
| Amgen Inc. | $64.67 | 4 |
| Abbvie Inc. | $37.56 | 2 |
| Otsuka America Pharmaceutical, Inc. | $26.28 | 1 |
| Viatris Specialty LLC | $20.16 | 1 |
What the 2025 payments were for
- Food and Beverage$285.23 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records