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Compare the published Medicare service mix of Valerie Margaret Spindle, ARNP, RN with clinicians in the same registry specialty: Nurse Practitioner (CMS).

WENATCHEE, WA · 100 milesEdit location
Within 100 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 · 127 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Ann Pedack

Specialty details in registry · Seattle, WA

Shared published services
3 shared services · view billing descriptions
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
71%Service-mix similarity~94.5 milesView profile →

Elisa R Lombard, ARNP

Nurse Practitioner (CMS) · Redmond, WA

Shared published services
3 shared services · view billing descriptions
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
65%Service-mix similarity~85.9 milesView profile →

Laura Jean Cornish, ARNP, NP-C

Nurse Practitioner (CMS) · Federal Way, WA

Shared published services
2 shared services · view billing descriptions
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
58%Service-mix similarity~93.5 milesView profile →

Sandra J. Kennedy, A.R.N.P.

Specialty details in registry · Burien, WA

Shared published services
2 shared services · view billing descriptions
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
55%Service-mix similarity~95.1 milesView profile →

William Kevin New, ANP-BC

Nurse Practitioner (CMS) · Seattle, WA

Shared published services
2 shared services · view billing descriptions
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
54%Service-mix similarity~94.8 milesView profile →

Christian Vanscherpenseel, NP

Specialty details in registry · Renton, WA

Shared published services
3 shared services · view billing descriptions
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
  • Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes (99347)
54%Service-mix similarity~88.9 milesView profile →

Rachel Elizabeth Westman, AGPCNP

Nurse Practitioner (CMS) · Richland, WA

Shared published services
2 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
40%Service-mix similarity~94.5 milesView profile →

Miriam Neema Bagalwa, NP

Nurse Practitioner (CMS) · Federal Way, WA

Shared published services
2 shared services · view billing descriptions
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
39%Service-mix similarity~93.5 milesView profile →

Erika M. Orban, ARNP

Nurse Practitioner (CMS) · Seattle, WA

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~94.5 milesView profile →

Amanda Jenkins, ARNP FNP-C

Nurse Practitioner (CMS) · Seattle, WA

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~93.6 milesView profile →

Jessica Sherman, ARNP

Nurse Practitioner (CMS) · Seattle, WA

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~94.8 milesView profile →

Mario Mata

Nurse Practitioner (CMS) · Kirkland, WA

Shared published services
2 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
35%Service-mix similarity~89.9 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.