Ariel Noel Lagnion
NPI 1962164293ActiveIndividual· Nurse Practitioner· Spokane, WA
Nurse Practitioner with Multicare Health System, practicing in Spokane, Washington. Their prescriptions cost Medicare Part D more than their services did: $194,647 for 3,018 claims, against $22,221 paid for services in 2024. Gilead Sciences, Inc. was the largest of 4 companies reporting payments in 2025, $590.76 in all, mostly food and beverage. Lists Deaconess Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1962164293 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 13, 2021 |
| Last updated in NPPES | Oct 19, 2021 |
| Certified by provider | Oct 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP.61193581 | 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 (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 169 |
|---|---|
| Services billed | 509 across 34 procedure codes |
| Paid by Medicare | $22,221 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,018 · 6,010 30-day fills |
|---|---|
| Patients | 398 |
| Total drug cost | $194,647 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Multicare Health SystemTacoma, WA · 2,325 clinicians
Hospital affiliations
- Deaconess Medical CenterSpokane, WA
- Tacoma General Allenmore HospitalTacoma, WA
Industry payments (Open Payments)
- 2025$590.76 · 7 payments from 4 companies
- 2024$947.86 · 9 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Gilead Sciences, Inc. | $299.39 | 3 |
| Boston Scientific Corporation | $134.59 | 2 |
| Phathom Pharmaceuticals, Inc. | $125.00 | 1 |
| Edwards Lifesciences Corporation | $31.78 | 1 |
What the 2025 payments were for
- Food and Beverage$590.76 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 203 nurse practitioners in Spokane · All nurse practitioners in Washington