Lance Michael Varga, APRN

Key facts

NPI

1811385461

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

F345730 (NY)

Practice address

4110 Highway 109
Wildwood, MO 63025-1243

Phone

(314) 267-9926

NPI assigned

Jan 6, 2015

Sex

Male

Sole proprietor

No

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · New York, NY · NPI 1801277629
  Medicare reassignment Care Compare group NPD NY
• Cooperstown Medical Center Rural Health Clinic/Center · Cooperstown, ND · NPI 1962548214
  Medicare reassignment Care Compare group NPD ND
• Emergency Coverage Services, PC Nurse Practitioner · Lawrenceburg, TN · NPI 1053351593
  Medicare reassignment NPD NURSE PRACTITIONER · VA
• Emergency Physician Services of New York, P.C. Emergency Medicine Physician · Poughkeepsie, NY · NPI 1093759847
  Medicare reassignment NPD NY
• Lake Spring Emergency Group, LLC Emergency Medicine Physician · Salem, VA · NPI 1215429600
  Medicare reassignment NPD NURSE PRACTITIONER · VA
• Nes Medical Services of New York PC Emergency Medicine Physician · Bath, NY · NPI 1215455191
  Medicare reassignment NPD NY
• River Hospital, Inc. Critical Access Hospital · Alexandria Bay, NY · NPI 1003814641
  Medicare reassignment NPD NY
• Cooperstown Medical Center Rural Health Clinic/Center · New Rockford, ND · NPI 1992459721
  Care Compare group NPD
• City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Bayside, NY · NPI 1790412443
  Care Compare group
• City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · Norwalk, CT · NPI 1851132831
  Care Compare group
• Cooperstown Medical Center Critical Access Hospital · Cooperstown, ND · NPI 1235239229
  Care Compare group
• Cooperstown Medical Center Medicare Defined Swing Bed Hospital Unit · Cooperstown, ND · NPI 1376635151
  Care Compare group
• Cooperstown Medical Center Rural Health Clinic/Center · Lakota, ND · NPI 1821760679
  Care Compare group
• City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · New York, NY · NPI 1730491945
  NPD
• City Medical of Upper East Side, PLLC Urgent Care Clinic/Center · New York, NY · NPI 1740913763
  NPD
• Nes Medical Services of New York PC Emergency Medicine Physician · Elmira, NY · NPI 1831742816
  NPD
• River Hospital, Inc. Rural Health Clinic/Center · Alexandria Bay, NY · NPI 1831452994
  NPD

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooperstown Medical Center (13 clinicians)
City Medical of Upper East Side PLLC (658 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (3 enrollments) in VA, NY, ND

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lance.varga.1@2983.direct.athenahealth.com
• Direct secure messaging: lvarga26727@direct.xtensys.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 13, 2020.

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1811385461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 HIGHWAY 109",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630251243",
            "telephone_number": "314-267-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 HIGHWAY 109",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630251243",
            "telephone_number": "314-267-9926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 W Main St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "IA",
            "postal_code": "520571526",
            "country_code": "US",
            "telephone_number": "563-927-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGA",
        "first_name": "LANCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F309619",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H142277",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC001545",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024172583",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2014042985",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018006271",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A154211",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Wildwood, MO · Family Nurse Practitioner in Missouri