Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

SHELBI DEXTER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1164192290
CMS profile
11216536
Location
OTTUMWA, IA

General Payments · PY2021–2025

$732.69

  • Reported across 33 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$311.67

15 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

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $311.67 15

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
ABBVIE INC. $70.89 4
Amgen Inc. $49.49 1
Insulet Corporation $45.48 1
Exact Sciences Corporation $34.97 2
SANOFI-AVENTIS U.S. LLC $33.73 2
Lilly USA, LLC $31.87 2
Novo Nordisk AS $28.74 2
PFIZER INC. $16.50 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $11.05 1
PY2022 $202.29 7
PY2023 $100.01 4
PY2024 $107.67 6
PY2025 $311.67 15

Payment records · PY2025 (15)

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

Program year 2025 2021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $18.29 05/06/2025 Food and Beverage Undisputed 06/30/2026 1203530871 CMS
ABBVIE INC. $19.67 08/05/2025 Food and Beverage Undisputed 06/30/2026 1203530877 CMS
ABBVIE INC. $15.60 09/16/2025 Food and Beverage Undisputed 06/30/2026 1203530882 CMS
ABBVIE INC. $17.33 10/07/2025 Food and Beverage Undisputed 06/30/2026 1203530888 CMS
Amgen Inc. $49.49 11/14/2025 Food and Beverage Undisputed 06/30/2026 1228872597 CMS
Exact Sciences Corporation $16.85 03/18/2025 Food and Beverage Undisputed 06/30/2026 1235273094 CMS
Exact Sciences Corporation $18.12 08/26/2025 Food and Beverage Undisputed 06/30/2026 1235273096 CMS
Insulet Corporation $45.48 11/12/2025 Food and Beverage Undisputed 06/30/2026 1207127587 CMS
Lilly USA, LLC $18.29 04/14/2025 Food and Beverage Undisputed 06/30/2026 1187309091 CMS
Lilly USA, LLC $13.58 05/27/2025 Food and Beverage Undisputed 06/30/2026 1187267993 CMS
Novo Nordisk Inc $14.11 04/01/2025 Food and Beverage Undisputed 06/30/2026 1188456624 CMS
Novo Nordisk Inc $14.63 09/30/2025 Food and Beverage Undisputed 06/30/2026 1188332891 CMS
PFIZER INC. $16.50 09/18/2025 Food and Beverage Undisputed 06/30/2026 1230458859 CMS
SANOFI-AVENTIS U.S. LLC $16.13 04/22/2025 Food and Beverage Undisputed 06/30/2026 1233209170 CMS
SANOFI-AVENTIS U.S. LLC $17.60 07/08/2025 Food and Beverage Undisputed 06/30/2026 1233209110 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.