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Deactivated NPI 1457790743 Deactivated / Inactive NPI Female Practitioner

Vicky L Gaines , RN

Registered Nurse • Mount Vernon, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Vicky Gaines has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 19, 2013
NPI Deactivation Date May 22, 2024
Total Practice Duration ~11 Years of Practice (2013 – 2024)

Professional Overview & Biography Verified Profile Summary

Vicky Gaines, RN was a registered Registered Nurse practicing in Mount Vernon, IL. Throughout an active medical career spanning 11 years, Vicky Gaines provided care at the practice location at 2920 VETERANS MEMORIAL DR until profile deactivation on 2024-05-22.

Practice Location & Contact Primary Location

Practice Address

2920 Veterans Memorial Dr

Mount Vernon, IL 628645924

Telephone 6182446544
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Mount Vernon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Mount Vernon, IL (2714 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License IL 041387339

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
April Lewis , LPN

Licensed Practical Nurse

NPI 1003066655

Licensed Practical Nurse

Judy Jenkins , LPN

Licensed Practical Nurse

NPI 1003133539

Licensed Practical Nurse

NPI 1053501791

Doctor of Dental Medicine

Stacy Owens , LPN

Licensed Practical Nurse

NPI 1073985511

Licensed Practical Nurse

Ronda Wilson , LPN

Licensed Practical Nurse

NPI 1093083974

Licensed Practical Nurse

R Wangler , LPN

Licensed Practical Nurse

NPI 1104075803

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 22, 2024

Record deactivated on May 22, 2024

NPI Profile Active June 19, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 19, 2013

Registered at 2920 VETERANS MEMORIAL DR, MOUNT VERNON, IL 628645924 (Tel: 6182446544)

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Updated Business Mailing Address June 19, 2013

Registered at PO BOX 155, CHRISTOPHER, IL 628220155 (Tel: 6187242401)

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Provider Name / Credentials Updated June 19, 2013

Recorded as VICKY GAINES, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2013

Registered Nurse (License #041387339 in IL)

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Initial NPI Registration & Enumeration June 19, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457790743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2013
Last Update: June 19, 2013
Deactivation Date: May 22, 2024

Mailing Address

Po Box 155

Christopher, IL 628220155

Phone: 6187242401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.