Astraea Duran , ARNP
Nurse Practitioner β’ Spokane, WA
4001 N Cook St
Spokane, WA 992075879
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
4001 N Cook St
Spokane, WA 992075879
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Hayden, ID. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Dirne Health Centers, Inc.; Yakima Valley Farm Workers Clinic. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2024
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Open Payments general payments, program year 2025
All general payments: $124.78 across 6 records.
By nature of payment
- Food and Beverage: $124.78 across 6 records.
Reporting-company totals (3 largest of 6)
- Eli Lilly and Company: $25.30 across 1 record.
- Pfizer Inc.: $22.51 across 1 record.
- KYOWA KIRIN, INC.: $21.03 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
2 years (graduated 2024)
CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2024
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Astraea Duran has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Astraea Duran as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Spokane and Washington
188 active clinicians are listed under Nurse Practitioner with a practice address in Spokane, WA (2,310 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spokane
13.8% of these 188 clinicians have the CMS telehealth indicator.
55.9% of these 188 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $22.61 in 2024 to $124.78 in 2025.
- 2024: $22.61
- 2025: $124.78
Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 β December 31, 2025): fewer than 11 records totaling $124.78.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
MOUNJARO | General | $25.30 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
NURTEC ODT | General | $22.51 |
| KYOWA KIRIN, INC. |
Food and Beverage
In-kind items and services
|
CRYSVITA | General | $21.03 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
|
Korlym | General | $20.43 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
|
ABILIFY MAINTENA | General | $18.27 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Rybelsus | General | $17.24 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-11-11NUCC Taxonomy Code: 363L00000X
(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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20251208003775
WA
6305377193
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Dirne Health Centers, Inc.
1090 W Park Pl, Coeur D Alene, ID 838142785
Phone: 2082920290
Yakima Valley Farm Workers Clinic
4001 N Cook St, Spokane, WA 992075879
Phone: 5094833427
Dirne Health Centers, Inc.
1106 W Ironwood Dr, Coeur D Alene, ID 838142480
Yakima Valley Farm Workers Clinic
4001 N Cook St, Spokane, WA 992075879
Phone: 5094833427
Secondary Practice Locations
Po Box 1387
Hayden, ID 838351387
Phone: 2086252070
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Pharmacist
Nurse Practitioner - Family
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Family Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4001 N COOK ST, SPOKANE, WA 992075879 (Tel: 5093264343)
Registered at PO BOX 190, TOPPENISH, WA 989480190 (Tel: 5094086298)
Recorded as ASTRAEA DURAN, ARNP
Nurse Practitioner (license number reported to NPPES: WA AP70054803)
Registered at PO BOX 1387, HAYDEN, ID 838351387 (Tel: 2084150299)
Nurse Practitioner (license number reported to NPPES: ID 8361771)
NPI status registered as active in NPPES database
Registered at PO BOX 1387, HAYDEN, ID 838351387 (Tel: 2086252070)
Registered at 405 SYCAMORE ST NE, ALBUQUERQUE, NM 871064628 (Tel: 5059347561)
Recorded as ASTRAEA DURAN
Family Medicine (license number reported to NPPES: NM 77017)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Spokane
- Davin Valenti
- Lauri Moon, ARNP
- Anna Wilson, ARNP
- Jamelynn Mark, ARNP
- Leigh Moseman, ARNP
- Diane Kovac, PMHNP-BC
Mailing Address
Po Box 190
Toppenish, WA 989480190
Phone: 5094086298