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

Covered recipient · General Payments record

ANN R MANUEL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1225514524
CMS profile
10416300
Location
SHENANDOAH, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

Saved items

Saved only in this browser. No account or alerts.

Filter and download payment records

General Payments · PY2023 · Entire year

$1,833.70

94 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,833.70 94

By paying entity

PY2023 · entire year · sorted by reported total

Payment records · PY2023

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

94 matching records · $1,833.70 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 94 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 94.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Novartis Pharmaceuticals Corporation $26.6712/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818049 CMS
Impulse Dynamics (USA) Inc. $41.1012/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261022359721 CMS
Smith+Nephew, Inc. $13.1212/15/2023 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/20261053319353 CMS
E.R. Squibb & Sons, L.L.C. $20.7612/05/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261015773923 CMS
Amgen Inc. $3.9112/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261020237787 CMS
Merck Sharp & Dohme LLC $16.3911/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261048906029 CMS
Janssen Pharmaceuticals, Inc $7.1611/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026987987665 CMS
Amgen Inc. $17.0711/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261020237783 CMS
Novartis Pharmaceuticals Corporation $2.2911/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818041 CMS
Actelion Pharmaceuticals US, Inc. $31.3511/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026988494321 CMS
Novartis Pharmaceuticals Corporation $19.7811/06/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818037 CMS
Boston Scientific Corporation $20.5710/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261021920461 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.5010/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996552491 CMS
Novartis Pharmaceuticals Corporation $6.1110/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818045 CMS
Janssen Pharmaceuticals, Inc $10.1710/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026987987673 CMS
Merck Sharp & Dohme LLC $15.5910/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261048759409 CMS
Novartis Pharmaceuticals Corporation $21.3410/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818033 CMS
Boston Scientific Corporation $28.4010/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261022144993 CMS
Medtronic, Inc. $104.1110/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261019316783 CMS
Boston Scientific Corporation $35.3110/03/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261022144995 CMS
Merck Sharp & Dohme LLC $16.1109/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261048866673 CMS
LeMaitre Vascular, Inc. $11.5009/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261034097245 CMS
Novartis Pharmaceuticals Corporation $17.9209/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818029 CMS
Amgen Inc. $12.2709/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261020237781 CMS
Novartis Pharmaceuticals Corporation $2.7308/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818021 CMS
Novartis Pharmaceuticals Corporation $9.1008/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818025 CMS
Merck Sharp & Dohme LLC $14.9508/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261048399941 CMS
Novartis Pharmaceuticals Corporation $5.7808/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818013 CMS
Novartis Pharmaceuticals Corporation $21.2208/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818017 CMS
E.R. Squibb & Sons, L.L.C. $25.9908/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261015773863 CMS
GE HealthCare $10.5608/15/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261039519335 CMS
Novartis Pharmaceuticals Corporation $22.1108/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818001 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.4508/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996552495 CMS
Novartis Pharmaceuticals Corporation $5.6408/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818009 CMS
Amgen Inc. $10.8107/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261020237777 CMS
Janssen Pharmaceuticals, Inc $18.0207/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026987987657 CMS
Abbott Laboratories $22.9007/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261018149339 CMS
Janssen Pharmaceuticals, Inc $13.3307/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026987987649 CMS
Novartis Pharmaceuticals Corporation $1.1307/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992817997 CMS
Amgen Inc. $22.3007/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261020237773 CMS
Novartis Pharmaceuticals Corporation $7.1107/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992817989 CMS
Novartis Pharmaceuticals Corporation $10.8107/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992817993 CMS
Novartis Pharmaceuticals Corporation $17.8607/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992817985 CMS
E.R. Squibb & Sons, L.L.C. $25.8707/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261015773847 CMS
Novartis Pharmaceuticals Corporation $18.5907/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026992818005 CMS
Actelion Pharmaceuticals US, Inc. $34.8107/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026988494331 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $19.8806/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996552499 CMS
Boston Scientific Corporation $1.9506/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261021920453 CMS
Amgen Inc. $3.8506/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261020237769 CMS
Amgen Inc. $4.7606/22/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261020237765 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,109.84 70
PY2022 $1,469.68 74
PY2023 $1,833.70 94
PY2024 $2,327.92 76
PY2025 $1,891.02 70

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 and profile matching
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.

Cite this record.

Plain
ANN R MANUEL, NPI 1225514524. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1225514524.
APA 7
IndustryPayments. (2026). ANN R MANUEL, NPI 1225514524 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1225514524
Bluebook
ANN R MANUEL, NPI 1225514524, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1225514524.

Source: Centers for Medicare & Medicaid Services, Open Payments.