CASSANDRA KLAKKEN VIRAMONTES, ARNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding ARNP credentials at 411 FORTUYN RD, GRAND COULEE, WA, 99133, with a listed phone of (509) 633-1911. NPI 1295316693 was issued on 04/16/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KLAKKEN VIRAMONTES most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,858 prescription claims written by this provider, covering 200 Medicare beneficiaries and totaling roughly $202K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 6.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.