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Compare the published Medicare service mix of Dion Douglas Machard, APRN-NP with clinicians in the same registry specialty: Family Nurse Practitioner.

ORD, NE · 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 · 115 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Rebecca J Farrall, FNP-C

Family Nurse Practitioner · Hastings, NE

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with low level of medical decision making (99283)
81%Service-mix similarity~75.4 milesView profile →

Gena Popken, DNP, APRN, FNP-C

Family Nurse Practitioner · Norfolk, NE

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with low level of medical decision making (99283)
77%Service-mix similarity~83.8 milesView profile →

Bobbie Jo Marie Miller, APRN

Family Nurse Practitioner · Osmond, NE

Shared published services
1 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
75%Service-mix similarity~87.3 milesView profile →

Samantha Kay Kizzire, APRN

Family Nurse Practitioner · Osmond, NE

Shared published services
1 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
75%Service-mix similarity~87.3 milesView profile →

Diane C Meyer, FNP-BC

Family Nurse Practitioner · Norfolk, NE

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with low level of medical decision making (99283)
75%Service-mix similarity~83.8 milesView profile →

Staci Lyn Stempek, APRN

Family Nurse Practitioner · Columbus, NE

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with low level of medical decision making (99283)
73%Service-mix similarity~82.2 milesView profile →

Kimberly Rae Brandenburg, APRN

Family Nurse Practitioner · Columbus, NE

Shared published services
2 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
  • Emergency department visit with low level of medical decision making (99283)
52%Service-mix similarity~82.2 milesView profile →

Alicia Anne Vandewalle, APRN

Family Nurse Practitioner · Randolph, NE

Shared published services
1 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
33%Service-mix similarity~98.2 milesView profile →

Mariah Jade Curtis, APRN

Family Nurse Practitioner · Kearney, NE

Shared published services
1 shared services · view billing descriptions
  • Emergency department visit with moderate level of medical decision making (99284)
29%Service-mix similarity~61.4 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.