CASSANDRA KLAKKEN VIRAMONTES ARNP
NPI 1295316693
Nurse Practitioner in Grand Coulee, WA

Q: What is Cassandra Klakken Viramontes's NPI number?

The NPI number for Cassandra Klakken Viramontes is 1295316693. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Q: What is Cassandra Klakken Viramontes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 16, 2021PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

411 FORTUYN RD, GRAND COULEE, WA 99133(509) 633-1911(509) 633-3644 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, Apr 14, 2022, Jan 12, 2022 and 2 more (5 updates tracked since 2021).

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About Cassandra Klakken Viramontes Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRA KLAKKEN VIRAMONTES ARNP (NPI 1295316693) is an individual nurse practitioner in Grand Coulee, Washington, licensed in Washington (AP61156360) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Coulee Medical Center, and maintains a secondary practice location in Coulee City.

NPPES Registry Identity

NPI1295316693

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCASSANDRA KLAKKEN VIRAMONTESCredential: ARNP

Location Address411 FORTUYN RDGrand Coulee, WA 99133-8718

Mailing Address411 Fortuyn RdGrand Coulee, WA 99133-8718 · (509) 633-1911 · Fax (509) 633-3644

Phone(509) 633-1911

Fax(509) 633-3644

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 16, 2021

Last NPPES UpdateJune 30, 20255 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1295316693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP61156360

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

411 FORTUYN RD, Grand Coulee, WA 99133

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Secondary Practice Location 1

Location 1218 W Main StCoulee City, WA 99115 · Phone (509) 632-5701

Other Identifiers 1

Medicaid2188185WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassandra Klakken Viramontes Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315336237

PECOS Enrollment IDI20211116000499

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Coulee Medical Center

Critical Access Hospitals · Grand Coulee, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501308

Location411 Fortuyn RoadGrand Coulee, WA 99133 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers13 claims1,560 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers13 claims13 services$25.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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