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Compare the published Medicare service mix of Trisanna M Gruel, FNP with clinicians in the same registry specialty: Family Nurse Practitioner.

KENMORE, WA · 10 milesEdit location
Within 10 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 · 223 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Markita Renee Wicks, FNP-C

Family Nurse Practitioner · Seattle, WA

Shared published services
3 shared services · view billing descriptions
  • Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes (99342)
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
  • Urinalysis, manual test (81002)
79%Service-mix similarity~9.5 milesView profile →

Connie Chien

Family Nurse Practitioner · 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 new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes (99344)
  • 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~7.3 milesView profile →

Haley Key, NP

Family Nurse Practitioner · Bellevue, 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 new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes (99344)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
42%Service-mix similarity~9.8 milesView profile →

Jamie Cline, APRN

Family Nurse Practitioner · Everett, 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)
  • Insertion of needle into vein for collection of blood sample (36415)
  • Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes (99344)
41%Service-mix similarity~10.0 milesView profile →

Kalen Joseph Autumn Jordan, ARNP

Family Nurse Practitioner · Seattle, WA

Shared published services
1 shared services · view billing descriptions
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
30%Service-mix similarity~7.3 milesView profile →

Amandeep Debessay, ARNP

Family Nurse Practitioner · 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 new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes (99344)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
29%Service-mix similarity~6.8 milesView profile →

Samuel Aren Bernstein Mann, ARNP

Family Nurse Practitioner · Seattle, WA

Shared published services
2 shared services · view billing descriptions
  • Urinalysis, manual test (81002)
  • Insertion of needle into vein for collection of blood sample (36415)
22%Service-mix similarity~5.3 milesView profile →

Meghan Hanratty Green, ARNP, DNP

Family Nurse Practitioner · Redmond, WA

Shared published services
1 shared services · view billing descriptions
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
22%Service-mix similarity~8.1 milesView profile →

Lauren Christine Kenny, ARNP

Family Nurse Practitioner · Seattle, WA

Shared published services
1 shared services · view billing descriptions
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
20%Service-mix similarity~7.3 milesView profile →

Maia Zink

Family Nurse Practitioner · Bothell, WA

Shared published services
1 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)
19%Service-mix similarity~1.5 milesView profile →

Keillan Leigh Mennella, ARNP

Family Nurse Practitioner · Seattle, WA

Shared published services
1 shared services · view billing descriptions
  • Insertion of needle into vein for collection of blood sample (36415)
19%Service-mix similarity~6.8 milesView profile →

Tyler C Free, ARNP

Family Nurse Practitioner · Bellevue, WA

Shared published services
2 shared services · view billing descriptions
  • Urinalysis, manual test (81002)
  • Insertion of needle into vein for collection of blood sample (36415)
19%Service-mix similarity~9.8 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.