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Compare the published Medicare service mix of Trista Louise Grossnickle, PMHNP with clinicians in the same registry specialty: Nurse Practitioner (CMS).

IA · Exact areaEdit location

2024 published service data · 201 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Jennifer Christine Kearns, ARNP

Nurse Practitioner (CMS) · Davenport, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
77%Service-mix similarityView profile →

Arisa P. Miller Mullins, ARNP

Nurse Practitioner (CMS) · Des Moines, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
67%Service-mix similarityView profile →

Jessica Sue Lilland, GNP

Specialty details in registry · Ankeny, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
65%Service-mix similarityView profile →

Paige Hektoen, ARNP

Nurse Practitioner (CMS) · Des Moines, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
61%Service-mix similarityView profile →

Holly E Labertew, ARNP

Nurse Practitioner (CMS) · West Des Moines, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
59%Service-mix similarityView profile →

Michelle Lindsey Vore, PMHNP-BC

Nurse Practitioner (CMS) · Des Moines, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
59%Service-mix similarityView profile →

Carrie Ann Goodwin, ARNP

Specialty details in registry · Gowrie, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
57%Service-mix similarityView profile →

Sharon Ann Arndt-Nelson, ARNP

Nurse Practitioner (CMS) · Storm Lake, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
55%Service-mix similarityView profile →

Amber Rae Shupe, PMHNP-BC

Nurse Practitioner (CMS) · Storm Lake, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
54%Service-mix similarityView profile →

Jenna Marie Hefel, DNP

Nurse Practitioner (CMS) · Dubuque, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
53%Service-mix similarityView profile →

Andrea Anderson, PMHNP

Nurse Practitioner (CMS) · Mason City, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
46%Service-mix similarityView profile →

Heather M. Glasser, PMHNP-BC

Nurse Practitioner (CMS) · Spencer, IA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
45%Service-mix similarityView 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 NPI 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.