NELBIE ANNE MANDAC DURAN APRN-CNP
NPI 1841874567
Nurse Practitioner in Spokane Valley, WA

Active since May 09, 2021PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
1204 N VERCLER RD, SPOKANE VALLEY, WA 99216(509) 228-1000(509) 252-9300 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 16, 2024, Apr 13, 2022, May 13, 2021 and 1 more (4 updates tracked since 2021).

About Nelbie Anne Mandac Duran Aprn-cnp NPPES

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

NELBIE ANNE MANDAC DURAN APRN-CNP (NPI 1841874567) is an individual nurse practitioner in Spokane Valley, Washington, licensed in Washington (AP61462163) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1841874567
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNELBIE ANNE MANDAC DURANCredential: APRN-CNP
Location Address1204 N VERCLER RDSpokane Valley, WA 99216-1020
Mailing Address1204 N Vercler RdSpokane Valley, WA 99216-1020 · (509) 228-1041 · Fax (509) 252-9494
Fax(509) 252-9300
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 2018
Enumeration DateMay 9, 2021
Last NPPES UpdateJuly 16, 20244 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
NPI 1841874567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WA · AP61462163
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.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1036346 (TX)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 1036346 (TX)
1204 N VERCLER RD, Spokane Valley, WA 99216

Secondary Practice Locations 3

Location 1800 W Magnolia AveFort Worth, TX 76104-4611 · Phone (817) 759-7000
Location 25236 W University Dr Ste 1000McKinney, TX 75071-8106 · Phone (972) 542-8609 · Fax (972) 542-8613
Location 34461 Coit Rd Ste 100Frisco, TX 75035-0522 · Phone (972) 987-1975 · Fax (972) 335-0712

Accepted 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

Nelbie Anne Mandac Duran Aprn-cnp 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 ID2365841145
PECOS Enrollment IDI20230927001806
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
314 services165 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
296 services155 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500033
Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County
Emergency services Birthing friendly

Lincoln Hospital

Critical Access Hospitals · Davenport, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501305
Location10 Nichols StreetDavenport, WA 99122 · Lincoln County
Emergency services

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

Whitman Hospital And Medical Center

Critical Access Hospitals · Colfax, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501327
Location1200 West FairviewColfax, WA 99111 · Whitman County
Emergency services

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501331
Location835 S Bishop BlvdPullman, WA 99163 · Whitman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99216 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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Radiology (Radiation Oncology)
1204 N VERCLER RD, STE201
SPOKANE VALLEY, WA 99216
Internal Medicine (Medical Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Internal Medicine (Hematology & Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Nurse Practitioner
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Internal Medicine (Medical Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Internal Medicine (Hematology & Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Internal Medicine (Hematology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nelbie Anne Duran's NPI number?

The NPI number for Nelbie Anne Duran is 1841874567. It was assigned to this individual provider in the NPPES registry on May 9, 2021.

Where is Nelbie Anne Duran located?

Nelbie Anne Duran practices at 1204 N Vercler Rd, Spokane Valley, WA 99216. The listed phone number is (509) 228-1000.

What is Nelbie Anne Duran's specialty?

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

Is Nelbie Anne Duran enrolled in Medicare?

Yes. Nelbie Anne Duran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nelbie Anne Duran accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nelbie Anne Duran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nelbie Anne Duran affiliated with any hospitals?

According to CMS data, Nelbie Anne Duran is affiliated with Samaritan Hospital, Lincoln Hospital, Providence Mount Carmel Hospital, Whitman Hospital And Medical Center and Pullman Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nelbie Anne Duran was last updated on July 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.