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Compare the published Medicare service mix of Kristin Alex Engler, ACNP with clinicians in the same registry specialty: Nurse Practitioner (CMS).

SAINT LOUIS, MO · Exact areaEdit location

2024 published service data · 82 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Jacqueline Anne Owens, AGNP

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
82%Service-mix similarityView profile →

Carrie Lynn Brandstetter, ACNP

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
80%Service-mix similarityView profile →

Helen Louise Adams, AGNP

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
78%Service-mix similarityView profile →

Carmen Marie Isringhausen, ACNP

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
71%Service-mix similarityView profile →

Beth Ann Younger, ACNP

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
70%Service-mix similarityView profile →

David Bryant Kiliman, ACNP

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
67%Service-mix similarityView profile →

Melanie Elise Hoeferlin, NP

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
2 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
66%Service-mix similarityView profile →

Stacie Michelle Wilson, AGNP-ACHPN

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
3 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
  • Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)
63%Service-mix similarityView profile →

Kristi A Arnolds, AGNP

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
1 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
61%Service-mix similarityView profile →

Jamie Nicole Bunn, ACNP

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
1 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
61%Service-mix similarityView profile →

Victoria Quynh-Loan Tran, ACNP

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
1 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
61%Service-mix similarityView profile →

Hilary Christine Von Hoffmann, AG-ACNP, BC

Nurse Practitioner (CMS) · Saint Louis, MO

Shared published services
1 shared services · view billing descriptions
  • Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)
61%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.