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Compare the published Medicare service mix of Heather Lynn Spengler, PMHNP-BC with clinicians in the same registry specialty: Nurse Practitioner (CMS).

TX · Exact areaEdit location

2024 published service data · 500 eligible profiles compared. This search reached its 500-profile comparison limit, using NPI order. Narrow the location for a more focused comparison. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Josue Omar Munoz, PMHNP-BC, FNP-C

Nurse Practitioner (CMS) · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
94%Service-mix similarityView profile →

Kelsey Crider

Nurse Practitioner (CMS) · Houston, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
93%Service-mix similarityView profile →

Brigitte Tyree

Nurse Practitioner (CMS) · Austin, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
93%Service-mix similarityView profile →

Geoffrey M Gonzales, PMHNP

Nurse Practitioner (CMS) · San Antonio, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
92%Service-mix similarityView profile →

Bilha Mureithi, PMHNP-BC

Nurse Practitioner (CMS) · Dallas, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
89%Service-mix similarityView profile →

Vanessa Mukasolu Echetabu Gray, PMHNP-BC

Nurse Practitioner (CMS) · Dallas, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
  • Psychiatric diagnostic evaluation with medical services (90792)
85%Service-mix similarityView profile →

Olayemi Omotosho, NP

Nurse Practitioner (CMS) · Katy, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
  • Psychiatric diagnostic evaluation with medical services (90792)
85%Service-mix similarityView profile →

Reah Gambrell, PMH-NP

Nurse Practitioner (CMS) · Wichita Falls, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
  • Psychiatric diagnostic evaluation with medical services (90792)
85%Service-mix similarityView profile →

Jackquelyn Denise Williams, NP

Nurse Practitioner (CMS) · Burleson, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
  • Psychiatric diagnostic evaluation with medical services (90792)
85%Service-mix similarityView profile →

Nnamdi Ofoeze, NP

Nurse Practitioner (CMS) · Katy, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
  • Psychiatric diagnostic evaluation with medical services (90792)
84%Service-mix similarityView profile →

Stella Mongina Kebaso

Nurse Practitioner (CMS) · Dallas, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
  • Psychiatric diagnostic evaluation with medical services (90792)
84%Service-mix similarityView profile →

Innocent Omale, FNP

Nurse Practitioner (CMS) · Bedford, TX

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
84%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.