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Compare the published Medicare service mix of Jason Sirel, APRN with clinicians in the same registry specialty: Nurse Practitioner (CMS).

LECANTO, FL · 50 milesEdit location
Within 50 miles · Approximate ZIP-area distance

Approximate straight-line distances between ZIP-area centers; a city search starts from the average of its ZIP centers. Uses the primary reported practice ZIP, not an exact office address or driving distance. Records without matched coordinates are excluded. How distance works

2024 published service data · 42 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Anthony Torres, APRN

Nurse Practitioner (CMS) · Ocala, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
47%Service-mix similarity~30.7 milesView profile →

Lisa Lyn Ripley, APRN

Nurse Practitioner (CMS) · Spring Hill, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
46%Service-mix similarity~26.0 milesView profile →

Lucia Hamilton

Specialty details in registry · Spring Hill, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
45%Service-mix similarity~27.6 milesView profile →

Rukiya Roseboro, APRN

Nurse Practitioner (CMS) · Zephyrhills, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
44%Service-mix similarity~47.4 milesView profile →

Susan Mawhinney-Brignola, APRN

Nurse Practitioner (CMS) · Spring Hill, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
42%Service-mix similarity~27.6 milesView profile →

Rani Marie Powierza, NP-BC

Nurse Practitioner (CMS) · The Villages, FL

Shared published services
1 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
41%Service-mix similarity~33.0 milesView profile →

Tila Alicia Skipper-Resendiz, APRN

Nurse Practitioner (CMS) · The Villages, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
38%Service-mix similarity~31.1 milesView profile →

Grace Maria Joseph, APRN

Nurse Practitioner (CMS) · Land O Lakes, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
37%Service-mix similarity~42.0 milesView profile →

Mary M. Busto, APRN

Nurse Practitioner (CMS) · The Villages, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
37%Service-mix similarity~33.0 milesView profile →

Sylvia Fae Wallace, APRN, BC

Nurse Practitioner (CMS) · The Villages, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
36%Service-mix similarity~35.0 milesView profile →

Tiara Clark, APRN

Nurse Practitioner (CMS) · Spring Hill, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
35%Service-mix similarity~26.0 milesView profile →

Michelle R. Springstead, APRN

Nurse Practitioner (CMS) · The Villages, FL

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
31%Service-mix similarity~33.0 milesView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in approximate distance order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.