2026 NPPES data Primary Care Nurse Practitioner NPI 1922729656 FNP-C
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CASSY LESTER, FNP-C

Primary Care Nurse Practitioner in AIRWAY HEIGHTS, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 295 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: CASSY LESTER, FNP-C is a Primary Care Nurse Practitioner ([object Object]) practicing in AIRWAY HEIGHTS, Washington with a Medicare Part D prescribing footprint of 2K claims across 295 beneficiaries — 12% brand-name prescribing .

What stands out: CASSY LESTER, FNP-C filed 2,293 Medicare Part D claims in 2023 across AIRWAY HEIGHTS, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CASSY LESTER, FNP-C at a glance

Quality data not reported

NPI registry status

Active

Issued 09/12/2022

NPI 1922729656

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

2,293 68% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

Specialty distribution in Washington

How Primary Care Nurse Practitioner compares to other specialties among Washington providers

Washington providers

Primary Care Nurse Practitioner share within Washington

1. Primary Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Primary Care Nurse Practitioner share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Primary Care Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Primary Care Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Primary Care Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Primary Care Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CASSY LESTER, FNP-C is a Primary Care Nurse Practitioner provider practicing in AIRWAY HEIGHTS, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: FNP-C. NPI: 1922729656. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CASSY LESTER, FNP-C appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding FNP-C credentials at 10414 WEST HIGHWAY 2, AIRWAY HEIGHTS, WA, 99224, with a listed phone of (509) 342-3380. NPI 1922729656 was issued on 09/12/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LESTER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,293 prescription claims written by this provider, covering 295 Medicare beneficiaries and totaling roughly $237K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 4.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

10414 WEST HIGHWAY 2
AIRWAY HEIGHTS, WA 99224

Provider Details

NPI 1922729656
Specialty Primary Care Nurse Practitioner
Credentials FNP-C
Gender Female
NPI Issued 09/12/2022

Hospital and facility affiliations

Facilities where CASSY LESTER, FNP-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MULTICARE HEALTH SYSTEM
TACOMA, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to CASSY LESTER, FNP-C. To verify CASSY LESTER, FNP-C's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

CASSY LESTER, FNP-C — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,293 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,293
Total Claims
$237K
Total Drug Cost
295
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,325
Total Day Supply
124,215
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$184K
Generic Drug Cost
$51K
Opioid Claims
96 (4.2% rate)
Antibiotic Claims
38

Patient Demographics

Average Patient Age
67.9 years
Avg HCC Risk Score
1.30
Gender Split
67% female / 33% male
Age Distribution
<65: 74, 65-74: 141, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
102
Atorvastatin Calcium
92
Omeprazole
75
Gabapentin
72
Lisinopril
68
Cyclobenzaprine Hcl
67
Amlodipine Besylate
58
Albuterol Sulfate Hfa
Albuterol Sulfate
56
Pregabalin
49
Duloxetine Hcl
48

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Primary Care Nurse Practitioner Overview

How CASSY LESTER, FNP-C fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

CASSY LESTER, FNP-C's 2,293 claims are above the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as LESTER.

Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is CASSY LESTER, FNP-C's specialty?
CASSY LESTER, FNP-C specializes in Primary Care Nurse Practitioner and practices in AIRWAY HEIGHTS, Washington. Credentials: FNP-C.
How much does CASSY LESTER, FNP-C prescribe under Medicare Part D?
In 2023, CASSY LESTER, FNP-C wrote 2,293 Medicare Part D claims totaling $237K in drug costs for 295 beneficiaries.
Where is CASSY LESTER, FNP-C located?
CASSY LESTER, FNP-C is located at 10414 WEST HIGHWAY 2, AIRWAY HEIGHTS, WA, 99224. Phone: (509) 342-3380.
What is CASSY LESTER, FNP-C's NPI number?
CASSY LESTER, FNP-C's National Provider Identifier (NPI) is 1922729656, issued on 09/12/2022.
Does CASSY LESTER, FNP-C prescribe more brand-name or generic drugs?
CASSY LESTER, FNP-C's prescribing is 12% brand-name and 88% generic drugs by claim count, with $184K in brand drug costs.
Does CASSY LESTER, FNP-C prescribe opioids?
Yes, CASSY LESTER, FNP-C had 96 opioid claims in 2023 with an opioid prescribing rate of 4.2%.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does CASSY LESTER, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, CASSY LESTER, FNP-C's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CASSY LESTER, FNP-C accept Medicare?
CASSY LESTER, FNP-C appears in CMS Medicare data with 2,293 Part D claims and 295 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CASSY LESTER, FNP-C's credentials?
CASSY LESTER, FNP-C's NPI is 1922729656 with credentials FNP-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology