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Compare the published Medicare service mix of Nirva Antoine Joseph-Guillaume, AGACNP-BC with clinicians in the same registry specialty: Nurse Practitioner (CMS).

HOUSTON, TX · Exact areaEdit location

2024 published service data · 218 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Meaghan Marie Brown, AGACNP

Nurse Practitioner (CMS) · Houston, TX

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 moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
98%Service-mix similarityView profile →

Kunjumol Varughese, ACNP

Nurse Practitioner (CMS) · Houston, TX

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 moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
93%Service-mix similarityView profile →

Phylicia Williams, AGACNP

Nurse Practitioner (CMS) · Houston, TX

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 moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
83%Service-mix similarityView profile →

Eleanor Weltge, RN, APRN, ACNP

Nurse Practitioner (CMS) · Houston, TX

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)
81%Service-mix similarityView profile →

Eileen Castrudes

Nurse Practitioner (CMS) · Houston, TX

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 →

Kiana Tatum, AGACNP-BC

Nurse Practitioner (CMS) · Houston, TX

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)
79%Service-mix similarityView profile →

Tiffany Anne Mundie, MSN, APRN, ACNP-BC

Nurse Practitioner (CMS) · Houston, TX

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)
79%Service-mix similarityView profile →

Vasim Lakhani, NP

Nurse Practitioner (CMS) · Houston, TX

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 moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
78%Service-mix similarityView profile →

Jerah Leshell Stanford

Nurse Practitioner (CMS) · Houston, TX

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)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
78%Service-mix similarityView profile →

Jessa Marie Laricci, NP

Nurse Practitioner (CMS) · Houston, TX

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)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
77%Service-mix similarityView profile →

Uloma C Adiele

Nurse Practitioner (CMS) · Houston, TX

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 moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
76%Service-mix similarityView profile →

Nancy Del Rosario Rivera, ACNPC-AG

Nurse Practitioner (CMS) · Houston, TX

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 moderate levelof medical decision making, if using time, at least 50 minutes (99233)
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
75%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.