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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.

TN · 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.

Jennifer Beth Huffman, FNP

Family Nurse Practitioner · Johnson City, 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)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
67%Service-mix similarityView profile →

Jennifer Friley

Family Nurse Practitioner · Antioch, 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)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
66%Service-mix similarityView profile →

Janet Leigh Zarzour, FNP-BC

Family Nurse Practitioner · Cleveland, 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)
  • Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes (99349)
64%Service-mix similarityView profile →

Meredith Figueroa

Family Nurse Practitioner · Franklin, 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)
  • Psychiatric diagnostic evaluation with medical services (90792)
63%Service-mix similarityView profile →

Kathleen Elizabeth Fite, MSN, FNP-C

Family Nurse Practitioner · Knoxville, 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)
  • Psychiatric diagnostic evaluation with medical services (90792)
63%Service-mix similarityView profile →

Audra Blye Lewis, NP

Family Nurse Practitioner · Memphis, 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)
63%Service-mix similarityView profile →

Tina M Hollis, FNP

Family Nurse Practitioner · Bartlett, 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)
59%Service-mix similarityView profile →

Rebecca Cravens, FNP-BC

Family Nurse Practitioner · Dover, 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)
56%Service-mix similarityView profile →

Elissa Mae Kruse, NURSE PRACTITIONER

Family Nurse Practitioner · Nashville, 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)
56%Service-mix similarityView profile →

Karlie Wampler, FNP-BC

Family Nurse Practitioner · Kingsport, 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)
56%Service-mix similarityView profile →

Stephen T Leonard, NP

Family Nurse Practitioner · Nashville, TN

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)
  • Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes (99347)
56%Service-mix similarityView profile →

Joyce Ann Wright, FNP

Family Nurse Practitioner · Knoxville, 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)
53%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.