Nelbie Anne Mandac Duran, APRN-CNP

Nurse Practitioner

Nelbie Anne Mandac Duran is a Nurse Practitioner based in Spokane Valley, WA with over 8 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.

(509) 228-1000Spokane Valley, WA
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

Nelbie Anne Mandac Duran, APRN-CNP specializes in nursing, serving patients in Spokane Valley, WA in independent practice. Trained at Duke University School of Medicine (class of 2018), she has been practicing for over 8 years. CMS Medicare data shows her patients commonly have hypertension, high cholesterol, and cancer. CMS MIPS quality score: 89.44/100 (2023).

At a glance

  • Prescribes opioids less than 29% of reporting doctors in Washington
  • Uses generic medications more than 43% of reporting doctors in Washington
  • Federal MIPS score higher than 43% of MIPS-scored doctors in Washington
  • Virtual visits available — no app or travel required
1 of 355 Nurse Practitioner providers in WASee all Nurse Practitioner in Spokane Valley8+ years experienceNPI since 2021

Older · 677dNPPES updated 2024-07-16 · verify NPI on CMS · Verify license at Washington Medical Commission

Contact & Location

Practice Location

1204 N Vercler Rd, Spokane Valley, WA 99216-1020

Fax: (509) 252-9300
CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor has an average quality score compared to other doctors in Washington, prescribes opioid pain medications conservatively, favors affordable generic drugs over brand-name ones.

MIPS Score

2023

89.44/100

Washington avg: 87.4 · US avg: 83.6

Higher than most doctors nationally(+5.8 pts)

Average range among MIPS-scored doctors in Washington

How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.

Opioid Rx

↓ Lower = better

4.46%

Washington avg: 5.7 · US avg: 5.1

Higher than most doctors nationally(-0.6 pts)

4.46% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.

Generic Rx

↑ Higher = better

88.3%

Washington avg: 85.1 · US avg: 82.8

Higher than most doctors nationally(+5.5 pts)

Typical range among reporting doctors in Washington

How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.

Medicare Patients

407

Unique beneficiaries

Standard volume

Prescription Recipients

140

Patients prescribed

Prescriptions Written

426

Total claims

Total Medicare drug cost: $153k

Percentile rankings compared against 1,521 reporting peers in Washington.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Cancer.

Hypertension
Higher than avg (+5%)75%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↑ More patients than average (+5%) — a focus area for this doctor

High Cholesterol
Higher than avg (+5%)75%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↑ More patients than average (+5%) — a focus area for this doctor

Cancer
Higher than avg (+32%)53%

Diseases involving abnormal cell growth with potential to spread to other body parts

US avg: 20.8%

↑ More patients than average (+32%) — a focus area for this doctor

Arthritis
Higher than avg (+1%)50%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↑ More patients than average (+1%) — a focus area for this doctor

Chronic Kidney Disease
Higher than avg (+5%)35%

Gradual loss of kidney function over time, often linked to diabetes or hypertension

US avg: 29.6%

↑ More patients than average (+5%) — a focus area for this doctor

Diabetes
34%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%
Ischemic Heart Disease
Lower than avg (-4%)28%

Reduced blood flow to the heart muscle, commonly known as coronary artery disease

US avg: 31.7%

↓ Fewer patients than average (-4%) — less common here

Anxiety Disorders
Lower than avg (-6%)28%

Excessive worry or fear that interferes with daily life

US avg: 34.1%

↓ Fewer patients than average (-6%) — less common here

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$1.5k received from industry

48 transactions reported in 2024 ·Moderate tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Nelbie Anne Mandac Duran's NPI.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 2018

    Duke University School of Medicine

  2. Board certified · Jul 15, 2024

    Self-reported via NPPES

  3. 8 years in practice

    Established

Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

(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.

Taxonomy: 363L00000X

Education & Training

Duke University School of Medicine (Class of 2018)

Virtual Nursing Care With Nelbie Anne Mandac Duran

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Nelbie Anne Mandac Duran for blood pressure monitoring, cholesterol management, follow-up consultations — no travel to Spokane Valley required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Nelbie Anne Mandac Duran

Dr. Duran is listed as active in the NPI registry with telehealth listed in Spokane Valley, WA. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (509) 228-1000.

Verified across 6 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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