Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

JULI A SMELSER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1104075761
CMS profile
10676934
Location
HOLLAND, OH

General Payments · PY2021–2024

$4,885.36

  • Reported across 165 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,382.45

48 records · 0 disputed

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

How these totals are 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,201.60 46
Education $180.85 2

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,702.59 54
PY2022 $833.97 22
PY2023 $966.35 41
PY2024 $1,382.45 48

Payment records · PY2024 (48)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Amgen Inc. $18.64 06/06/2024 Food and Beverage Undisputed 01/23/2026 1117385341 CMS
Amgen Inc. $19.06 10/21/2024 Food and Beverage Undisputed 01/23/2026 1117385343 CMS
Amgen Inc. $16.15 11/05/2024 Food and Beverage Undisputed 01/23/2026 1117385345 CMS
AstraZeneca Pharmaceuticals LP $15.37 03/21/2024 Food and Beverage Undisputed 01/23/2026 1105598751 CMS
AstraZeneca Pharmaceuticals LP $20.93 09/18/2024 Food and Beverage Undisputed 01/23/2026 1105360303 CMS
AstraZeneca Pharmaceuticals LP $15.67 09/24/2024 Food and Beverage Undisputed 01/23/2026 1105680563 CMS
AstraZeneca Pharmaceuticals LP $16.44 12/03/2024 Food and Beverage Undisputed 01/23/2026 1104234011 CMS
Avadel CNS Pharmaceuticals, LLC $18.31 01/11/2024 Food and Beverage Undisputed 01/23/2026 1123396114 CMS
Axsome Therapeutics, Inc. $87.20 05/23/2024 Food and Beverage Undisputed 01/23/2026 1148372839 CMS
Axsome Therapeutics, Inc. $19.09 06/07/2024 Food and Beverage Undisputed 01/23/2026 1148372837 CMS
Axsome Therapeutics, Inc. $16.26 12/06/2024 Food and Beverage Undisputed 01/23/2026 1148372841 CMS
Bayer Healthcare Pharmaceuticals Inc. $21.05 08/07/2024 Food and Beverage Undisputed 01/23/2026 1086363921 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $26.56 09/12/2024 Food and Beverage Undisputed 01/23/2026 1117872399 CMS
Fisher & Paykel Healthcare Inc $19.00 08/22/2024 Food and Beverage Undisputed 01/23/2026 1143842248 CMS
GENZYME CORPORATION $14.76 04/12/2024 Food and Beverage Undisputed 01/23/2026 1139834962 CMS
GENZYME CORPORATION $20.13 06/05/2024 Food and Beverage Undisputed 01/23/2026 1139834980 CMS
GlaxoSmithKline, LLC. $18.52 03/08/2024 Food and Beverage Undisputed 01/23/2026 1116262811 CMS
GlaxoSmithKline, LLC. $15.49 08/08/2024 Food and Beverage Undisputed 01/23/2026 1116593458 CMS
GlaxoSmithKline, LLC. $125.00 08/15/2024 Food and Beverage Undisputed 01/23/2026 1116284442 CMS
GlaxoSmithKline, LLC. $11.97 09/26/2024 Food and Beverage Undisputed 01/23/2026 1116551753 CMS
GlaxoSmithKline, LLC. $11.92 10/22/2024 Food and Beverage Undisputed 01/23/2026 1116481947 CMS
GlaxoSmithKline, LLC. $18.54 11/06/2024 Food and Beverage Undisputed 01/23/2026 1116494434 CMS
GlaxoSmithKline, LLC. $15.30 12/03/2024 Food and Beverage Undisputed 01/23/2026 1115961335 CMS
Grifols USA, LLC $24.35 02/07/2024 Food and Beverage Undisputed 01/23/2026 1124717740 CMS
Harmony Biosciences Llc $15.30 10/07/2024 Food and Beverage Undisputed 01/23/2026 1141473872 CMS
Harmony Biosciences Llc $16.72 12/04/2024 Food and Beverage Undisputed 01/23/2026 1141474160 CMS
HARMONY BIOSCIENCES LLC $21.05 01/26/2024 Food and Beverage Undisputed 01/23/2026 1126086999 CMS
HARMONY BIOSCIENCES LLC $1.61 01/26/2024 Food and Beverage Undisputed 01/23/2026 1126087001 CMS
HARMONY BIOSCIENCES LLC $26.79 04/12/2024 Food and Beverage Undisputed 01/23/2026 1126086995 CMS
HARMONY BIOSCIENCES LLC $26.31 09/20/2024 Food and Beverage Undisputed 01/23/2026 1126086997 CMS
HARMONY BIOSCIENCES LLC $99.99 10/14/2024 Education Undisputed 01/23/2026 1126086993 CMS
INOGEN, INC. $24.32 04/10/2024 Food and Beverage Undisputed 01/23/2026 1144991173 CMS
INOGEN, INC. $6.76 10/24/2024 Food and Beverage Undisputed 01/23/2026 1144991175 CMS
Insmed, Inc. $15.25 10/30/2024 Food and Beverage Undisputed 01/23/2026 1089566969 CMS
Inspire Medical Systems, Inc. $110.73 07/17/2024 Food and Beverage Undisputed 01/23/2026 1148169029 CMS
JAZZ PHARMACEUTICALS INC. $19.69 05/17/2024 Food and Beverage Undisputed 01/23/2026 1151295582 CMS
JAZZ PHARMACEUTICALS INC. $16.55 08/08/2024 Food and Beverage Undisputed 01/23/2026 1151295580 CMS
Mylan Specialty L.P. $18.68 07/24/2024 Food and Beverage Undisputed 01/23/2026 1147293867 CMS
Mylan Specialty L.P. $20.07 09/10/2024 Food and Beverage Undisputed 01/23/2026 1147297519 CMS
Mylan Specialty L.P. $21.75 12/02/2024 Food and Beverage Undisputed 01/23/2026 1147333889 CMS
Paratek Pharmaceuticals, Inc. $16.88 11/14/2024 Food and Beverage Undisputed 01/23/2026 1113934280 CMS
Regeneron Healthcare Solutions, Inc. $80.86 01/22/2024 Education Undisputed 01/23/2026 1114373987 CMS
Regeneron Healthcare Solutions, Inc. $28.18 07/11/2024 Food and Beverage Undisputed 01/23/2026 1114373989 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.67 11/15/2024 Food and Beverage Undisputed 01/23/2026 1137825356 CMS
United Therapeutics Corporation $22.00 05/15/2024 Food and Beverage Undisputed 01/23/2026 1149446798 CMS
United Therapeutics Corporation $120.42 10/24/2024 Food and Beverage Undisputed 01/23/2026 1149445174 CMS
United Therapeutics Corporation $17.85 11/07/2024 Food and Beverage Undisputed 01/23/2026 1149446368 CMS
United Therapeutics Corporation $11.31 12/04/2024 Food and Beverage Undisputed 01/23/2026 1149447102 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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