MICHELLE FLETCHER
Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family KINGMAN, AZ NPI 1033729454
Browse related groups: Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family AZ Acerta Pharma LLC All categories
General Payments — all program years on this page
$458.81
- Category: General Payments
- Program years: PY2021–2024
- Record count: 20
- As of (CMS publication): 2026-01-23
Latest program year (PY2024): $222.30 across 6 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 payment | Amount | Records |
|---|---|---|
| Food and Beverage | $222.30 | 6 |
By paying entity
Latest program year (PY2024) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Acerta Pharma LLC | $121.76 | 1 |
| BOSTON SCIENTIFIC CORPORATION | $32.80 | 1 |
| Amgen Inc. | $29.44 | 2 |
| Endogastric Solutions, Inc | $20.30 | 1 |
| Lilly USA, LLC | $18.00 | 1 |
By program year
Records — PY2024 (6)
| Record ID | Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Source |
|---|---|---|---|---|---|---|---|
| 1092682325 | Boston Scientific Corporation | $32.80 | 11/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1104680807 | AstraZeneca Pharmaceuticals LP | $121.76 | 02/21/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1117251726 | Amgen Inc. | $14.71 | 07/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1117554267 | Amgen Inc. | $14.73 | 06/06/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1135794724 | Lilly USA, LLC | $18.00 | 04/29/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1144678618 | Endogastric Solutions, Inc | $20.30 | 03/26/2024 | 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
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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.