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Compare the published Medicare service mix of David P Twietmeyer, NP with clinicians in the same registry specialty: Family Nurse Practitioner.

TACOMA, WA · Exact areaEdit location

2024 published service data · 114 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Sirena S Sagdahl, ARNP

Family Nurse Practitioner · Tacoma, 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 established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
  • Insertion of needle into vein for collection of blood sample (36415)
91%Service-mix similarityView profile →

Marian K Kehl, MSN

Family Nurse Practitioner · Tacoma, WA

Shared published services
2 shared services · view billing descriptions
  • Detection test by immunoassay with direct visual observation for influenza virus (87804)
  • Urinalysis, manual test (81002)
23%Service-mix similarityView profile →

Nancy Wairimu Minjire, ARNP

Family Nurse Practitioner · Tacoma, WA

Shared published services
2 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)
  • Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes (99344)
22%Service-mix similarityView profile →

Monica A Harris, FNP-C

Family Nurse Practitioner · Tacoma, WA

Shared published services
2 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 established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
17%Service-mix similarityView profile →

Simon M Katumu, NP

Family Nurse Practitioner · Tacoma, WA

Shared published services
1 shared services · view billing descriptions
  • Insertion of needle into vein for collection of blood sample (36415)
15%Service-mix similarityView profile →

Jennifer Mac Wilson, DNP

Family Nurse Practitioner · Tacoma, WA

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (93000)
13%Service-mix similarityView profile →

Liliya Artym

Family Nurse Practitioner · Tacoma, WA

Shared published services
1 shared services · view billing descriptions
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (93000)
13%Service-mix similarityView profile →

Catherine Fernandez, ARNP

Family Nurse Practitioner · Tacoma, WA

Shared published services
1 shared services · view billing descriptions
  • Insertion of needle into vein for collection of blood sample (36415)
13%Service-mix similarityView profile →

Casey Ann Owings

Family Nurse Practitioner · Tacoma, WA

Shared published services
2 shared services · view billing descriptions
  • Urinalysis, manual test (81002)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (93000)
11%Service-mix similarityView profile →

Paula Janise Smith, ARNP

Family Nurse Practitioner · Tacoma, WA

Shared published services
1 shared services · view billing descriptions
  • Insertion of needle into vein for collection of blood sample (36415)
11%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.