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Similar work.
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Compare the published Medicare service mix of Marciana Castillo Tyler, MSN AGNP-C with clinicians in the same registry specialty: Nurse Practitioner (CMS).

LUMBERTON, TX · 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 · 168 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Krystal Nicole Shilo, AGACNP-BC

Nurse Practitioner (CMS) · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Insertion of needle into vein for collection of blood sample (36415)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
63%Service-mix similarity~84.0 milesView profile →

Kellie Lynn Myers, APRN

Nurse Practitioner (CMS) · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Insertion of needle into vein for collection of blood sample (36415)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
59%Service-mix similarity~84.0 milesView profile →

Moishia Mcelroy, AGNP

Nurse Practitioner (CMS) · Webster, TX

Shared published services
3 shared services · view billing descriptions
  • Insertion of needle into vein for collection of blood sample (36415)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
58%Service-mix similarity~74.7 milesView profile →

Raelyna Cher're Nunley, AGACNP-BC

Nurse Practitioner (CMS) · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (93000)
51%Service-mix similarity~71.4 milesView profile →

Jed Jularbal, APRN

Nurse Practitioner (CMS) · Conroe, TX

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
48%Service-mix similarity~78.2 milesView profile →

Son Linda Soy, MSN, APRN, AGACNP-BC

Nurse Practitioner (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
48%Service-mix similarity~81.2 milesView profile →

Emily Thuy My Morrow, NP-C

Nurse Practitioner (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
48%Service-mix similarity~81.2 milesView profile →

Michael David Garza, NP

Nurse Practitioner (CMS) · Galveston, TX

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
48%Service-mix similarity~74.4 milesView profile →

Jessica Ann Osburn, NP

Nurse Practitioner (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
48%Service-mix similarity~81.2 milesView profile →

Amanda Allen, NP

Nurse Practitioner (CMS) · Lufkin, TX

Shared published services
3 shared services · view billing descriptions
  • Insertion of needle into vein for collection of blood sample (36415)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
45%Service-mix similarity~72.8 milesView profile →

Cathy Vo, APRN

Nurse Practitioner (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
44%Service-mix similarity~81.2 milesView profile →

Genevieve Abanilla Veneracion, APRN

Nurse Practitioner (CMS) · Houston, TX

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
44%Service-mix similarity~81.2 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.