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

LACY MARIE ENGELSTAD

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1427712181
CMS profile
11275193
Location
COEUR D ALENE, ID

General Payments · PY2022–2025

$1,815.45

  • Reported across 94 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$921.68

51 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 $821.69 50
Education $99.99 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $68.43 1
PY2023 $58.69 3
PY2024 $766.65 39
PY2025 $921.68 51

Payment records · PY2025 (51)

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

Program year 2025 202220232024 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. $32.74 09/25/2025 Food and Beverage Undisputed 06/30/2026 1203685773 CMS
Amgen Inc. $4.68 02/05/2025 Food and Beverage Undisputed 06/30/2026 1229165231 CMS
Amgen Inc. $4.06 03/24/2025 Food and Beverage Undisputed 06/30/2026 1229165218 CMS
Amgen Inc. $20.86 03/25/2025 Food and Beverage Undisputed 06/30/2026 1229165238 CMS
Amgen Inc. $6.00 03/26/2025 Food and Beverage Undisputed 06/30/2026 1229165244 CMS
Amgen Inc. $2.03 04/28/2025 Food and Beverage Undisputed 06/30/2026 1229165226 CMS
Amgen Inc. $5.64 05/14/2025 Food and Beverage Undisputed 06/30/2026 1229165214 CMS
Amgen Inc. $125.00 05/29/2025 Food and Beverage Undisputed 06/30/2026 1229165208 CMS
Amgen Inc. $16.07 07/08/2025 Food and Beverage Undisputed 06/30/2026 1229165187 CMS
Amgen Inc. $4.84 07/29/2025 Food and Beverage Undisputed 06/30/2026 1229165265 CMS
Amgen Inc. $5.88 08/06/2025 Food and Beverage Undisputed 06/30/2026 1229165181 CMS
Amgen Inc. $4.06 08/27/2025 Food and Beverage Undisputed 06/30/2026 1229165250 CMS
Amgen Inc. $9.84 09/29/2025 Food and Beverage Undisputed 06/30/2026 1229165195 CMS
Amgen Inc. $5.36 10/09/2025 Food and Beverage Undisputed 06/30/2026 1229165201 CMS
Amgen Inc. $104.88 10/27/2025 Food and Beverage Undisputed 06/30/2026 1229165257 CMS
Amgen Inc. $15.29 12/11/2025 Food and Beverage Undisputed 06/30/2026 1229165263 CMS
AstraZeneca Pharmaceuticals LP $20.32 03/20/2025 Food and Beverage Undisputed 06/30/2026 1206988051 CMS
AstraZeneca Pharmaceuticals LP $14.88 06/12/2025 Food and Beverage Undisputed 06/30/2026 1206673889 CMS
AstraZeneca Pharmaceuticals LP $26.57 07/02/2025 Food and Beverage Undisputed 06/30/2026 1206480483 CMS
AstraZeneca Pharmaceuticals LP $19.02 09/21/2025 Food and Beverage Undisputed 06/30/2026 1207007777 CMS
AstraZeneca Pharmaceuticals LP $14.73 12/19/2025 Food and Beverage Undisputed 06/30/2026 1206608968 CMS
E.R. Squibb & Sons, L.L.C. $26.06 10/30/2025 Food and Beverage Undisputed 06/30/2026 1184407155 CMS
Genentech USA, Inc. $16.57 04/10/2025 Food and Beverage Undisputed 06/30/2026 1211649749 CMS
GlaxoSmithKline, LLC. $14.17 09/17/2025 Food and Beverage Undisputed 06/30/2026 1190967774 CMS
Janssen Biotech, Inc. $2.29 04/13/2025 Food and Beverage Undisputed 06/30/2026 1175434268 CMS
Janssen Biotech, Inc. $1.80 04/13/2025 Food and Beverage Undisputed 06/30/2026 1175434878 CMS
Janssen Biotech, Inc. $12.23 04/13/2025 Food and Beverage Undisputed 06/30/2026 1175435200 CMS
Janssen Biotech, Inc. $3.20 04/14/2025 Food and Beverage Undisputed 06/30/2026 1175433814 CMS
Janssen Biotech, Inc. $18.99 07/11/2025 Food and Beverage Undisputed 06/30/2026 1175433485 CMS
Janssen Biotech, Inc. $99.99 08/26/2025 Education Undisputed 06/30/2026 1175434953 CMS
Janssen Biotech, Inc. $20.30 12/17/2025 Food and Beverage Undisputed 06/30/2026 1175434279 CMS
Lilly USA, LLC $24.40 06/24/2025 Food and Beverage Undisputed 06/30/2026 1187218123 CMS
Mallinckrodt Hospital Products Inc. $15.61 06/24/2025 Food and Beverage Undisputed 06/30/2026 1212015599 CMS
Novartis Pharmaceuticals Corporation $14.75 02/20/2025 Food and Beverage Undisputed 06/30/2026 1200166748 CMS
Pharmacosmos Therapeutics Inc. $18.56 03/12/2025 Food and Beverage Undisputed 06/30/2026 1250735325 CMS
SOBI, INC $22.64 01/05/2025 Food and Beverage Undisputed 06/30/2026 1240251447 CMS
UCB, Inc. $2.87 01/23/2025 Food and Beverage Undisputed 06/30/2026 1224696741 CMS
UCB, Inc. $6.00 01/23/2025 Food and Beverage Undisputed 06/30/2026 1224696745 CMS
UCB, Inc. $8.04 02/20/2025 Food and Beverage Undisputed 06/30/2026 1224696749 CMS
UCB, Inc. $17.42 04/13/2025 Food and Beverage Undisputed 06/30/2026 1224696753 CMS
UCB, Inc. $9.07 05/04/2025 Food and Beverage Undisputed 06/30/2026 1224696756 CMS
UCB, Inc. $26.96 06/09/2025 Food and Beverage Undisputed 06/30/2026 1224506368 CMS
UCB, Inc. $6.89 06/26/2025 Food and Beverage Undisputed 06/30/2026 1224506370 CMS
UCB, Inc. $1.54 06/27/2025 Food and Beverage Undisputed 06/30/2026 1224506372 CMS
UCB, Inc. $29.73 07/13/2025 Food and Beverage Undisputed 06/30/2026 1224506374 CMS
UCB, Inc. $4.93 08/03/2025 Food and Beverage Undisputed 06/30/2026 1224506376 CMS
UCB, Inc. $9.33 08/04/2025 Food and Beverage Undisputed 06/30/2026 1224506378 CMS
UCB, Inc. $11.02 10/16/2025 Food and Beverage Undisputed 06/30/2026 1224506380 CMS
UCB, Inc. $2.02 12/04/2025 Food and Beverage Undisputed 06/30/2026 1224506382 CMS
UCB, Inc. $2.72 12/04/2025 Food and Beverage Undisputed 06/30/2026 1224506384 CMS
UCB, Inc. $8.83 12/04/2025 Food and Beverage Undisputed 06/30/2026 1224506386 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
2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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