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Compare the published Medicare service mix of Shirley Jean Budding, CNS, BC with clinicians in the same registry specialty: Certified Clinical Nurse Specialist (Cns) (CMS).

OH · Exact areaEdit location

2024 published service data · 22 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Dawn Elizabeth Gresko, PMH-CNS

Certified Clinical Nurse Specialist (Cns) (CMS) · Middleburg Heights, OH

Shared published services
2 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)
100%Service-mix similarityView profile →

Mary T. Harrison, M.S.N., R.N., C.S.

Certified Clinical Nurse Specialist (Cns) (CMS) · Lorain, OH

Shared published services
2 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)
100%Service-mix similarityView profile →

Jennifer D Malek, CNS,BC

Certified Clinical Nurse Specialist (Cns) (CMS) · Moraine, OH

Shared published services
2 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)
90%Service-mix similarityView profile →

Teri Ann Lieser, CNS

Certified Clinical Nurse Specialist (Cns) (CMS) · Canton, OH

Shared published services
2 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)
88%Service-mix similarityView profile →

Peggy Foster, CNS

Certified Clinical Nurse Specialist (Cns) (CMS) · Chillicothe, OH

Shared published services
1 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)
71%Service-mix similarityView profile →

Michelle Lynn Ducat, APN

Specialty details in registry · Amelia, OH

Shared published services
1 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)
71%Service-mix similarityView profile →

Susan Elizabeth Phillips, PMHCNS

Certified Clinical Nurse Specialist (Cns) (CMS) · Alliance, OH

Shared published services
1 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)
71%Service-mix similarityView profile →

Heather Lyn Shahan, CNS

Certified Clinical Nurse Specialist (Cns) (CMS) · Kent, OH

Shared published services
1 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)
71%Service-mix similarityView profile →

Robin Vee Krause, CNS, CNP

Certified Clinical Nurse Specialist (Cns) (CMS) · Lorain, OH

Shared published services
1 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)
71%Service-mix similarityView profile →

Lindsey Irwin, PMHCNS-BC

Nurse Practitioner (CMS) · Cleveland, OH

Shared published services
1 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)
71%Service-mix similarityView profile →

James S Srp, CNS, CNP

Certified Clinical Nurse Specialist (Cns) (CMS) · Beachwood, OH

Shared published services
1 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)
71%Service-mix similarityView profile →

Regina Lynne Engel, MSN, APRN-BC

Nurse Practitioner (CMS) · Cincinnati, OH

Shared published services
1 shared services · view billing descriptions
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
71%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.