Individual provider Active NPI

Nelbie Anne Mandac Duran, APRN-CNP

  • Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1841874567
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61462163 Issued in WA
Practice address
1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone
(509) 228-1000
Fax
(509) 252-9300
NPI assigned
May 9, 2021
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61462163 WA Primary
Gerontology Nurse Practitioner 363LG0600X 1036346 TX
Primary Care Nurse Practitioner 363LP2300X 1036346 TX

Addresses

Primary practice location

1204 N Vercler Rd
Spokane Valley, WA 99216-1020

Mailing address

1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone (509) 228-1041

Other practice location 1

800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone (817) 759-7000

Other practice location 2

4461 Coit Rd Ste 100
Frisco, TX 75035-0522
Phone (972) 987-1975

Other practice location 3

5236 W University Dr Ste 1000
McKinney, TX 75071-8106
Phone (972) 542-8609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927001806 WA Practitioner - Nurse Practitioner 2365841145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Care Northwest Centers P SGroup PAC ID 4688561939, 40 clinicians

Practice addresses (Care Compare)

601 S Sherman St
Spokane, WA 99202-1311
Phone (509) 228-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61462163WAMDNurse Practitioner
1036346TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Northwest Centers P S CurrentSince Oct 9, 2023 Accepting new patients
Cancer Care Northwest Centers P S Multi-Specialty CurrentSince Oct 9, 2023 Accepting new patients

Locations

601 S Sherman St
Spokane, WA 99202
Phone (509) 434-1082

605 E Holland Ave
Ste 100
Spokane, WA 99218
Phone (509) 228-1400

1204 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 228-1041

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1841874567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1041",
            "fax_number": "509-252-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044611",
            "country_code": "US",
            "telephone_number": "817-759-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4461 Coit Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750350522",
            "country_code": "US",
            "telephone_number": "972-987-1975",
            "fax_number": "972-335-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5236 W University Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750718106",
            "country_code": "US",
            "telephone_number": "972-542-8609",
            "fax_number": "972-542-8613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "NELBIE ANNE",
        "middle_name": "MANDAC",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61462163",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1036346",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1036346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.