NPI registry status
Active
2026 NPPES data Primary Care Nurse Practitioner NPI 1922729656 FNP-C
Verify on CMS → Cassy Lester, FNP-C
Primary Care Nurse Practitioner in Coeur D Alene, Idaho.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,597 in Primary Care Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
3K
Medicare Part D claims · 421 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Cassy Lester, FNP-C filed 3,495 Medicare Part D claims in 2024 as a Primary Care Nurse Practitioner in Coeur D Alene, Idaho, prescribing 89% generic.
- 3K
- Part D claims, 2024
- 89%
- generic prescribing
- ≥90th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Cassy Lester, FNP-C
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1922729656), first enumerated 09/12/2022.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,495 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1922729656 · Primary Care Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MID · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1922729656
- ENUM-RECENT 2022
- TAX-MID 11K Primary Care
- RX-MID 3,495
- BOOK-THIN 55 in Idaho
- PHOTO-ENUM Rachael Tayce · 2022
Cassy Lester, FNP-C's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
3,495 ≥ 90th percentile 90% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Cassy Lester, FNP-C?
Quality data not reportedPrimary specialty
Primary Care Nurse Practitioner
Medicare Part D claims
3,495 138% vs specialty avg
Specialty distribution in Idaho
How Primary Care Nurse Practitioner compares to other specialties among Idaho providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Primary Care Nurse Practitioner. Verify directly:
How MIPS and board certification work
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).
Practice Address
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).
Brand vs generic prescribing mix · Typical
Cassy Lester, FNP-C - brand share 11.0%
Primary Care Nurse Practitioner average
11% brand-name claims vs 89% generic, on 3,495 2024 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 2024.
3,495
Total Claims
$351K
Total Drug Cost
421
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,998.1
- Total Day Supply
- 201,627
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $286K
- Generic Drug Cost
- $63K
- Opioid Claims
- 117 (3.3% rate)
- Antibiotic Claims
- 45
Patient Demographics
- Average Patient Age
- 68.7 years
- Avg HCC Risk Score
- 1.25
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 99, 65-74: 201, 75-84: 99, 85+: 22
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Cassy Lester, FNP-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
175 claims
- Levothyroxine Sodium
Levothyroxine Sodium
149 claims
- Omeprazole
Omeprazole
135 claims
- Lisinopril
Lisinopril
112 claims
- Gabapentin
Gabapentin
104 claims
- Losartan Potassium
Losartan Potassium
82 claims
- Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
78 claims
- Amlodipine Besylate 69
Amlodipine Besylate
69 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 175 |
| Levothyroxine Sodium | 149 |
| Omeprazole | 135 |
| Lisinopril | 112 |
| Gabapentin | 104 |
| Losartan Potassium | 82 |
| Cyclobenzaprine Hcl | 78 |
| Amlodipine Besylate | 69 |
| Metformin Hcl | 68 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 60 |
* 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.
10,597
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,471
Avg Claims per Provider
Cassy Lester, FNP-C's 3,495 claims are above the specialty average of 1,471.
Nationwide Primary Care Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Lester, both outside Idaho so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2022)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Primary Care Nurse Practitioner Providers in Idaho
Other clinicians with the same primary specialty enrolled in Idaho, drawn from the same CMS NPPES roster as Lester.
One of 55 Primary Care Nurse Practitioner providers enrolled in Idaho, 5 are shown here.
Dr. Candice Adams
DNP, APRN, AGPCNP-BC
Meridian, ID
Bryce Andersen
NP-C
Idaho Falls, ID
Candiss Aschenbrenner
APRN-CNP
Blackfoot, ID
Elizabeth Balleweg
Boise, ID
Amy Beam
FNP
Council, ID
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 Coeur D Alene, Idaho. Credentials: FNP-C.
How much does Cassy Lester, FNP-C prescribe under Medicare Part D? ▼
In 2024, Cassy Lester, FNP-C wrote 3,495 Medicare Part D claims totaling $351K in drug costs for 421 beneficiaries.
Where is Cassy Lester, FNP-C located? ▼
Cassy Lester, FNP-C is located at 919 W CANFIELD AVE, Coeur D Alene, ID, 83815. Phone: (208) 758-0560.
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 11% brand-name and 89% generic drugs by claim count, with $286K in brand drug costs.
Does Cassy Lester, FNP-C prescribe opioids? ▼
Yes, Cassy Lester, FNP-C had 117 opioid claims in 2024 with an opioid prescribing rate of 3.3%.
How many Primary Care Nurse Practitioner providers are there in the US? ▼
There are 10,597 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,471 Medicare Part D claims per year.
What drugs does Cassy Lester, FNP-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Cassy Lester, FNP-C's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, 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 3,495 Part D claims and 421 Medicare beneficiaries in 2024. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.