Cassy Elberta Margart Lester, FNP-C
NPI 1922729656ActiveIndividual· Nurse Practitioner, Primary Care· Coeur D Alene, ID
Nurse Practitioner, Primary Care (FNP-C) with Multicare Health System, practicing in Coeur D Alene, Idaho. Their prescriptions cost Medicare Part D more than their services did: $350,823 for 3,495 claims, against $15,995 paid for services in 2024. Lists Deaconess Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1922729656 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Sep 12, 2022 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 9681307 | ID |
| Nurse Practitioner, Primary Care | 363LP2300X | 61354759 | WA |
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) | Enrolled Practitioner - Nurse Practitioner (ID); Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 406 across 26 procedure codes |
| Paid by Medicare | $15,995 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,495 · 6,998 30-day fills |
|---|---|
| Patients | 421 |
| Total drug cost | $350,823 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Multicare Health SystemTacoma, WA · 2,325 clinicians
Hospital affiliations
- Deaconess Medical CenterSpokane, WA
- Tacoma General Allenmore HospitalTacoma, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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