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.

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General Payments · PY2024 · Entire year

$2,327.92

76 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

PY2024 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $2,327.92 76

By paying entity

PY2024 · entire year · sorted by reported total

Payment records · PY2024

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

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

76 matching records · $2,327.92 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 76 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 76.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Kestra Medical Technology Services, Inc. $72.6112/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261152396665 CMS
Boston Scientific Corporation $17.9312/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261092626651 CMS
Daiichi Sankyo Inc. $16.1412/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261089452244 CMS
ATRICURE, INC. $45.7412/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261132886567 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.8012/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117924230 CMS
iRhythm Technologies, Inc. $16.0811/12/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261154049075 CMS
ATRICURE, INC. $58.3711/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261132897188 CMS
ATRICURE, INC. $29.0610/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261132891185 CMS
Bard Peripheral Vascular, Inc. $15.5310/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261128478975 CMS
Medtronic, Inc. $113.0709/20/2024 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261246975755 CMS
Boston Scientific Corporation $25.4309/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261092626683 CMS
Amgen Inc. $19.6909/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261115901405 CMS
Abbott Laboratories $18.6909/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261124911322 CMS
Novartis Pharmaceuticals Corporation $27.0009/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000650 CMS
Edwards Lifesciences Corporation $28.0209/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261138855394 CMS
Novartis Pharmaceuticals Corporation $11.0909/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000648 CMS
Novartis Pharmaceuticals Corporation $27.2208/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000644 CMS
Novartis Pharmaceuticals Corporation $7.7308/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000646 CMS
CARDIVA MEDICAL, INC. $29.6308/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261143864919 CMS
ATRICURE, INC. $61.3608/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261132885665 CMS
Novartis Pharmaceuticals Corporation $13.0408/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000642 CMS
Merck Sharp & Dohme LLC $18.9108/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261141608791 CMS
Medtronic, Inc. $19.7708/15/2024 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261246975753 CMS
Boston Scientific Corporation $36.6408/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261092626687 CMS
Novartis Pharmaceuticals Corporation $23.0108/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000632 CMS
Novartis Pharmaceuticals Corporation $22.0608/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000630 CMS
Novartis Pharmaceuticals Corporation $15.9808/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000636 CMS
Kestra Medical Technology Services, Inc. $117.1408/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261152396667 CMS
Boston Scientific Corporation $170.9008/01/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261092626653 CMS
Philips North America LLC $13.4407/31/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261146882476 CMS
Novartis Pharmaceuticals Corporation $25.2907/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000628 CMS
Amgen Inc. $22.4507/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261117619402 CMS
Boston Scientific Corporation $18.6107/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261092626681 CMS
Novartis Pharmaceuticals Corporation $15.1407/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000634 CMS
Novartis Pharmaceuticals Corporation $4.5806/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000612 CMS
Novartis Pharmaceuticals Corporation $26.6506/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000614 CMS
Medtronic, Inc. $148.3606/26/2024 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261246975751 CMS
E.R. Squibb & Sons, L.L.C. $23.0206/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261101470656 CMS
Janssen Pharmaceuticals, Inc $5.2706/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078218129 CMS
Actelion Pharmaceuticals US, Inc. $21.9106/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078920067 CMS
Actelion Pharmaceuticals US, Inc. $4.4306/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078920073 CMS
Boston Scientific Corporation $12.0106/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261092626647 CMS
Novartis Pharmaceuticals Corporation $22.1406/11/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000600 CMS
Amgen Inc. $14.1806/10/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261115901400 CMS
Imperative Care, Inc $67.3106/06/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261144211389 CMS
E.R. Squibb & Sons, L.L.C. $23.9306/04/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261101470653 CMS
Novartis Pharmaceuticals Corporation $21.0305/31/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000606 CMS
Novartis Pharmaceuticals Corporation $14.7805/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000620 CMS
Actelion Pharmaceuticals US, Inc. $118.7405/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261078920069 CMS
Novartis Pharmaceuticals Corporation $20.0805/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261087000618 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.