Lauren Ann Fiola Varma, RN, NP
Opted out of Medicare from July 2021 to July 2027. Nurse Practitioner, Psych/Mental Health (RN, NP) in Stockton, California, licensed in CA and CT, with an NPI issued in September 2011. Part D covered 277 prescriptions written in 2024, 99% of them generic. Axsome Therapeutics, Inc. was the largest of 3 companies reporting payments in 2025, $194.06 in all, mostly food and beverage.
Overview
| NPI | 1851674329 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, NP |
| Sole proprietor | Yes |
| NPI issued | Sep 21, 2011 |
| Last updated in NPPES | Mar 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 22706 | CA |
| Registered Nurse | 163W00000X | 100059 | CT |
| Registered Nurse | 163W00000X | 816397 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 1, 2021 – Jul 1, 2027 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 277 · 452 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $6,817 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
- 2025$194.06 · 8 payments from 3 companies
- 2024$217.80 · 13 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axsome Therapeutics, Inc. | $90.89 | 3 |
| Abbvie Inc. | $84.19 | 4 |
| Vanda Pharmaceuticals Inc. | $18.98 | 1 |
What the 2025 payments were for
- Food and Beverage$194.06 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 psychiatric nurse practitioners in Stockton · All psychiatric nurse practitioners in California