Genesis Riley Gaines, PMHNP
Nurse Practitioner, Psych/Mental Health in Pearland, TX. Individual provider (NPI-1).
NPI number1033055165
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1033055165
- Entity type
- Individual (NPI-1)
- Name
- Genesis Riley Gaines
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2026
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 966176 | TX | Yes |
Practice location
12504 Shady Run LnPearland, TX 77584-4547
Phone 225-278-1022
Mailing address
12504 Shady Run LnPearland, TX 77584-4547
Phone 225-278-1022
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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