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Compare the published Medicare service mix of Pamela Ann Ruppel, NURSE PRACTITIONER with clinicians in the same registry specialty: Nurse Practitioner (CMS).

ROANOKE, VA · Exact areaEdit location

2024 published service data · 17 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Stephanie Diann Sylvester-Johnson, RN, PMHNP-BC

Nurse Practitioner (CMS) · Roanoke, VA

Shared published services
3 shared services · view billing descriptions
  • Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (G2212)
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)
85%Service-mix similarityView profile →

Natasha Lyttle

Nurse Practitioner (CMS) · Roanoke, VA

Shared published services
1 shared services · view billing descriptions
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
46%Service-mix similarityView profile →

Michie Armell Bolden, NP

Nurse Practitioner (CMS) · Roanoke, VA

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)
  • 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 straightforward level of medical decision making, per day, if using time, at least 10 minutes (99307)
33%Service-mix similarityView profile →

Patrick E Hickey, ARNP

Nurse Practitioner (CMS) · Roanoke, VA

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)
32%Service-mix similarityView profile →

Lindsay Morris, NP

Nurse Practitioner (CMS) · Roanoke, VA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
31%Service-mix similarityView profile →

Michelle Cenerizio, PMHNP-BC

Nurse Practitioner (CMS) · Roanoke, VA

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)
25%Service-mix similarityView profile →

Natasha Ballentine Hart, PMHNP

Nurse Practitioner (CMS) · Roanoke, VA

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 straightforward level of medical decision making, per day, if using time, at least 10 minutes (99307)
19%Service-mix similarityView profile →

Jessica R Roberts, PMHNP-BC

Nurse Practitioner (CMS) · Roanoke, VA

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 straightforward level of medical decision making, per day, if using time, at least 10 minutes (99307)
19%Service-mix similarityView profile →

Christy Smith Brown

Nurse Practitioner (CMS) · Roanoke, VA

Shared published services
1 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)
18%Service-mix similarityView profile →

Charisse Williams-Stewart, PMHNP

Nurse Practitioner (CMS) · Roanoke, VA

Shared published services
1 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)
17%Service-mix similarityView profile →

Branda Best Hodges, NP

Nurse Practitioner (CMS) · Roanoke, VA

Shared published services
1 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)
15%Service-mix similarityView profile →

Mohammad H Alhalabi

Specialty details in registry · Roanoke, VA

Shared published services
1 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)
14%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.