CHEYANNE RENE FLETCHER

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family LAS VEGAS, NV NPI 1003575846

General Payments — all program years on this page

$1,382.19

  • Category: General Payments
  • Program years: PY2022–2024
  • Record count: 38
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $639.94 across 24 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $639.9424

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entityAmountRecords
EMD Serono, Inc. $265.1119
Acerta Pharma LLC $207.852
Daiichi Sankyo Inc. $152.682
Lilly USA, LLC $14.301

By program year

Program yearAmountRecords
2022 $553.9011
2023 $188.353
2024 $639.9424

Records — PY2024 (24)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1089422042 Daiichi Sankyo Inc. $27.71 10/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1089422044 Daiichi Sankyo Inc. $124.97 10/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105345336 AstraZeneca Pharmaceuticals LP $121.81 02/27/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105605727 AstraZeneca Pharmaceuticals LP $86.04 03/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120231187 EMD Serono, Inc. $4.90 02/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120231191 EMD Serono, Inc. $23.07 03/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120231195 EMD Serono, Inc. $16.05 01/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120231199 EMD Serono, Inc. $5.36 03/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120231203 EMD Serono, Inc. $9.53 02/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120231208 EMD Serono, Inc. $10.67 03/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120231212 EMD Serono, Inc. $6.22 02/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120231216 EMD Serono, Inc. $3.92 02/14/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120238086 EMD Serono, Inc. $14.31 04/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120238088 EMD Serono, Inc. $7.97 04/10/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120238090 EMD Serono, Inc. $10.64 04/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120238092 EMD Serono, Inc. $24.84 05/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120246929 EMD Serono, Inc. $11.22 06/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120248389 EMD Serono, Inc. $20.67 06/18/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120251494 EMD Serono, Inc. $1.96 07/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120251740 EMD Serono, Inc. $21.65 07/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120256079 EMD Serono, Inc. $23.50 09/17/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120266566 EMD Serono, Inc. $23.95 10/22/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1120268682 EMD Serono, Inc. $24.68 11/19/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135586187 Lilly USA, LLC $14.30 10/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.