NPPES file of Aug 9, 2026

Lance Roger Varns, ARNP, NP-C

Family Nurse Practitioner · Spokane, WA

Lance Roger Varns, ARNP, NP-C is a family nurse practitioner with a practice address in Spokane, Washington, and NPI 1962583534, issued on Oct 18, 2006. Check the license (Washington AP30006103, as entered in NPPES) with the Washington 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 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1962583534
Name
Lance Roger Varns
Credential
ARNP, NP-C
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
AP30006103 WA
Self-reported in NPPES; status is on the state search
Practice location
105 W 8TH Ave Ste 150E, Spokane, WA 99204
Phone
(509) 465-3919
Enumerated
Oct 18, 2006
Record last updated
Oct 7, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(509) 227-7070
Medicare enrollment
Enrolled (PECOS I20120807000206); accepts Medicare assignment
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.
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Also registered at 105 W 8TH Ave Ste 150E

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

  1. Kelsi Adams, LICSWClinical Social Worker1679834378
  2. Brooke GranstromPhysician Assistant1639651474
  3. Meredith Hays, D.O.Hospice and Palliative Medicine (Internal Medicine) Physician1487975983
  4. Mauricio Romero Olvera, M.D.Pediatric Nephrology Physician1871871616

Verify Lance Roger Varns in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Washington board licenses this profession
    Search for license AP30006103
    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 Washington 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.

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80% fewer Medicare Part D claims than the average family nurse practitioner in 2024

266 Medicare Part D claims for 99 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. Brand-name drugs were 61% of claims.

  1. Lance Varns266
  2. Specialty average1,305

Most prescribed

  1. Trelegy Ellipta29 claims
  2. Albuterol Sulfate Hfa28 claims
  3. Prednisone20 claims
  4. Breztri Aerosphere16 claims
  5. Montelukast Sodium14 claims
  6. Budesonide-Formoterol Fumarate13 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.

Industry payments in 2024: $1,643.10

62 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. Lance Varns$1,643.10
  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. Providence Health And Services WashingtonSpokane, WA

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

Lance Roger Varns among 3,781 family nurse practitioner records in Washington

Lance Roger Varns, ARNP, NP-C is one of 3,781 family nurse practitioner records with a practice address in Washington. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 84% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2001 · median 2018 among the 2,116 with a school on file
  • Record last updated2019 · 46% 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 Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

279 family nurse practitioner records list a practice address in Spokane

They are 279 of the 14,049 NPPES records with a practice address in Spokane, and 3,781 family nurse practitioner records in Washington.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Susan Baran, ARNPSpokane, WA 992041326040130
  2. Deborah Cavalieri, A.R.N.P.Spokane, WA 992041881766699
  3. Janet Collar, ARNPSpokane, WA 992041467406975
  4. Mary Janci, ARNPSpokane, WA 992041699700252
  5. Kathleen Manion, ARNPSpokane, WA 992041376613422
  6. Kimberly Nollette, ARNPSpokane, WA 992041154491280
  7. Cheryl Reeves, ARNPSpokane, WA 992041578633681
  8. Marcia Richardson, ARNPSpokane, WA 992041871608976

Common questions

What is Lance Roger Varns, ARNP, NP-C's NPI number?

Lance Roger Varns, ARNP, NP-C's National Provider Identifier (NPI) is 1962583534, issued on Oct 18, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Lance Roger Varns, ARNP, NP-C located?

The NPPES record lists a practice address at 105 W 8TH Ave Ste 150E, Spokane, WA, 99204. Phone: (509) 465-3919. Providers update this record themselves, so call before visiting.

How can I verify Lance Roger Varns, ARNP, NP-C's license?

NPPES lists Washington license number AP30006103, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.

How much does Lance Roger Varns, ARNP, NP-C prescribe under Medicare Part D?

In 2024, Lance Roger Varns, ARNP, NP-C had 266 Medicare Part D claims for 99 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions only.

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.