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Compare the published Medicare service mix of Delia E Acuna with clinicians in the same registry specialty: Nurse Practitioner (CMS).

CHESTER, VA · 25 milesEdit location
Within 25 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 · 46 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Elizabeth Dreher, AGNP

Nurse Practitioner (CMS) · Richmond, VA

Shared published services
3 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)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
  • Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes (99310)
92%Service-mix similarity~13.7 milesView profile →

Mishii Strother Hamlor, NP

Nurse Practitioner (CMS) · Chesterfield, VA

Shared published services
3 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)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
  • Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes (99310)
86%Service-mix similarity~10.9 milesView profile →

Jessica Marie Gallon, AGPCNP

Nurse Practitioner (CMS) · Richmond, VA

Shared published services
2 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)
  • Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes (99310)
75%Service-mix similarity~19.6 milesView profile →

Nathan J Davenport, ANP-C

Nurse Practitioner (CMS) · Richmond, VA

Shared published services
2 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)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
52%Service-mix similarity~13.8 milesView profile →

Ermagean Flowers, NP

Specialty details in registry · Richmond, VA

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 similarity~13.8 milesView profile →

Coleen P Kenny, NP

Specialty details in registry · Richmond, VA

Shared published services
1 shared services · view billing descriptions
  • Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes (99310)
44%Service-mix similarity~18.2 milesView profile →

Gernita Lazale Lee, D.N.P.

Nurse Practitioner (CMS) · Petersburg, VA

Shared published services
2 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)
  • Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes (99310)
40%Service-mix similarity~11.3 milesView profile →

Tamera S Krukiel, N.P.

Specialty details in registry · Richmond, VA

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)
36%Service-mix similarity~19.6 milesView profile →

Diana D Naidoo, AGACNP

Nurse Practitioner (CMS) · Richmond, VA

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)
36%Service-mix similarity~18.2 milesView profile →

Marie F Gerardo, N.P.

Specialty details in registry · Richmond, VA

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)
34%Service-mix similarity~19.6 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.