NPPES file of Aug 9, 2026

Desiree Lester, FNP-C

Family Nurse Practitioner · Granbury, TX

Desiree Lester, FNP-C is a family nurse practitioner with a practice address in Granbury, Texas, and NPI 1699141028, issued on Aug 20, 2015. Check the license (Texas AP128104, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1699141028
Name
Desiree Lester
Credential
FNP-C
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
AP128104 TX
Self-reported in NPPES; status is on the state search
Practice location
701 Paluxy RD, Granbury, TX 76048
Phone
(817) 573-4585
Enumerated
Aug 20, 2015
Record last updated
Sep 11, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(817) 279-1153
Medicare enrollment
Enrolled (PECOS I20151118002069); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 701 Paluxy RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Scott Rogers, BC-HISHearing Instrument Specialist1568606424
  2. Jay Thomas, DDSGeneral Practice Dentistry1265648307
  3. Pat Thomas, D.O.Family Medicine Physician1629163829
  4. Nancy Wagner, AGPCNP-BC, A-GNP-CNurse Practitioner1619658960

Verify Desiree Lester in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license AP128104
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

4.3 times the Medicare Part D claims of the average family nurse practitioner in 2024

5,669 Medicare Part D claims for 376 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 82 claims were for opioids.

  1. Desiree Lester5,669
  2. Specialty average1,305

Most prescribed

  1. Atorvastatin Calcium271 claims
  2. Levothyroxine Sodium244 claims
  3. Rosuvastatin Calcium199 claims
  4. Lisinopril183 claims
  5. Losartan Potassium170 claims
  6. Omeprazole153 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 90.8 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score81.7
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $254.43

7 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Desiree Lester$254.43
  2. Specialty average$650.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Hood Medical GroupGranbury, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Desiree Lester among 21,242 family nurse practitioner records in Texas

Desiree Lester, FNP-C is one of 21,242 family nurse practitioner records with a practice address in Texas. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 26% of them.

  • NPI issued2015 · 26% of these records are older, 69% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 53% of these records are
  • Graduated2015 · median 2018 among the 11,286 with a school on file
  • Record last updated2020 · 38% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

57 family nurse practitioner records list a practice address in Granbury

They are 57 of the 571 NPPES records with a practice address in Granbury, and 21,242 family nurse practitioner records in Texas.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Adriana Brown, FNP-BCGranbury, TX 760481477946648
  2. Terri Collins, FNPGranbury, TX 760481386019800
  3. Robin Conner, APNGranbury, TX 760481598891376
  4. Brooke Cooper, FNP-CGranbury, TX 760481437627221
  5. Nicole Cuellar, FNP-CGranbury, TX 760481609389964
  6. Haskell Derryberry, FNPGranbury, TX 760481093755704
  7. Crystal Gazda, APRNGranbury, TX 760481982255352
  8. Lawrence Hess, F.N.P.Granbury, TX 760481720176217

Common questions

What is Desiree Lester, FNP-C's NPI number?

Desiree Lester, FNP-C's National Provider Identifier (NPI) is 1699141028, issued on Aug 20, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Desiree Lester, FNP-C located?

The NPPES record lists a practice address at 701 Paluxy RD, Granbury, TX, 76048. Phone: (817) 573-4585. Providers update this record themselves, so call before visiting.

How can I verify Desiree Lester, FNP-C's license?

NPPES lists Texas license number AP128104, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Desiree Lester, FNP-C prescribe under Medicare Part D?

In 2024, Desiree Lester, FNP-C had 5,669 Medicare Part D claims for 376 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

What is Desiree Lester, FNP-C's MIPS final score?

The 2023 MIPS final score is 90.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.