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Compare the published Medicare service mix of April R Downing, FNP, APN with clinicians in the same registry specialty: Family Nurse Practitioner.

BELLS, TN · 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 · 159 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Gina Trombley

Family Nurse Practitioner · Jackson, TN

Shared published services
3 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
73%Service-mix similarity~14.0 milesView profile →

Lesley Howell, APRN

Family Nurse Practitioner · Milan, TN

Shared published services
3 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
66%Service-mix similarity~22.2 milesView profile →

Jakeisha Taylor Goston, FNP, PMHNP

Family Nurse Practitioner · Brownsville, TN

Shared published services
3 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
65%Service-mix similarity~13.1 milesView profile →

Leona Washington, RN

Family Nurse Practitioner · Jackson, TN

Shared published services
2 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
48%Service-mix similarity~14.0 milesView profile →

Seth Doyle

Family Nurse Practitioner · Jackson, TN

Shared published services
2 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Psychiatric diagnostic evaluation with medical services (90792)
47%Service-mix similarity~16.4 milesView profile →

Brittany Rhea Rauchle, APRN, FNP-C

Family Nurse Practitioner · Milan, TN

Shared published services
2 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • 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~22.2 milesView profile →

Mimi Dill, NP

Family Nurse Practitioner · Jackson, TN

Shared published services
3 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • 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 straightforward level of medical decision making, per day, if using time, at least 10 minutes (99307)
46%Service-mix similarity~16.4 milesView profile →

Jennifer Coleman, FNP

Family Nurse Practitioner · Jackson, TN

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)
45%Service-mix similarity~14.0 milesView profile →

Katherine Elizabeth James, FNP-C

Family Nurse Practitioner · Humboldt, TN

Shared published services
2 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
44%Service-mix similarity~12.4 milesView profile →

Kristen C Hunt, NURSE PRACTITIONER

Family Nurse Practitioner · Jackson, TN

Shared published services
2 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
42%Service-mix similarity~16.4 milesView profile →

Alicia Landers, FNP

Family Nurse Practitioner · Jackson, TN

Shared published services
2 shared services · view billing descriptions
  • Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)
  • Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)
40%Service-mix similarity~16.4 milesView profile →

Haley K Hardee, APN

Family Nurse Practitioner · Jackson, TN

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)
29%Service-mix similarity~14.0 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.