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

SIERRA C ARMSTRONG

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1417442419
CMS profile
10969761
Location
SOUTH LAKE TAHOE, CA

General Payments · PY2021–2025

$927.03

  • Reported across 35 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$257.68

11 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 $257.68 11

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
ITI, Inc. $123.93 6
ABBVIE INC. $58.32 2
Janssen Pharmaceuticals, Inc $26.65 1
Axsome Therapeutics, Inc. $26.55 1
Neurocrine BioSciences, Inc. $22.23 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $257.16 9
PY2022 $194.86 5
PY2023 $65.16 3
PY2024 $152.17 7
PY2025 $257.68 11

Payment records · PY2025 (11)

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. $32.72 01/23/2025 Food and Beverage Undisputed 06/30/2026 1204977223 CMS
ABBVIE INC. $25.60 06/04/2025 Food and Beverage Undisputed 06/30/2026 1204977227 CMS
Axsome Therapeutics, Inc. $26.55 10/16/2025 Food and Beverage Undisputed 06/30/2026 1235536744 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $15.93 01/14/2025 Food and Beverage Undisputed 06/30/2026 1241445362 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $28.96 03/04/2025 Food and Beverage Undisputed 06/30/2026 1241445364 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.16 05/07/2025 Food and Beverage Undisputed 06/30/2026 1241445366 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $24.92 07/23/2025 Food and Beverage Undisputed 06/30/2026 1241445368 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $17.20 09/11/2025 Food and Beverage Undisputed 06/30/2026 1241445370 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.76 11/05/2025 Food and Beverage Undisputed 06/30/2026 1241445372 CMS
Janssen Pharmaceuticals, Inc $26.65 07/30/2025 Food and Beverage Undisputed 06/30/2026 1174291520 CMS
Neurocrine BioSciences, Inc. $22.23 02/18/2025 Food and Beverage Undisputed 06/30/2026 1242869938 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

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