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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

AMANDA SPENCE

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1437624087
CMS profile
10498546
Location
NEW BRITAIN, CT

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.

General Payments · PY2021–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$3,056.99

163 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $13.50 1
PY2023 $2,022.13 107
PY2024 $2,695.83 145
PY2025 $3,056.99 163

Payment records · PY2025 (163)

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

Program year 2025 202120232024 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
Madrigal Pharmaceuticals $34.05 12/20/2025 Food and Beverage No dispute reported 06/30/2026 1248383693 CMS
ABBVIE INC. $14.40 12/18/2025 Food and Beverage No dispute reported 06/30/2026 1203556689 CMS
GlaxoSmithKline, LLC. $25.41 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1190595483 CMS
ABBVIE INC. $29.94 12/16/2025 Food and Beverage No dispute reported 06/30/2026 1203556683 CMS
Indivior Inc. $41.32 12/12/2025 Food and Beverage No dispute reported 06/30/2026 1240563756 CMS
ABBVIE INC. $11.20 12/11/2025 Food and Beverage No dispute reported 06/30/2026 1203556677 CMS
ABBVIE INC. $10.46 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1203556671 CMS
Azurity Pharmaceuticals, Inc. $18.75 12/04/2025 Food and Beverage No dispute reported 06/30/2026 1242689676 CMS
ABBVIE INC. $5.72 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1203556665 CMS
AstraZeneca Pharmaceuticals LP $17.00 11/24/2025 Food and Beverage No dispute reported 06/30/2026 1207233388 CMS
ABBVIE INC. $15.08 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1203556658 CMS
ABBVIE INC. $29.22 11/17/2025 Food and Beverage No dispute reported 06/30/2026 1203556652 CMS
ABBVIE INC. $6.07 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1203556641 CMS
ABBVIE INC. $10.11 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1203556647 CMS
Azurity Pharmaceuticals, Inc. $24.67 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1242689674 CMS
GlaxoSmithKline, LLC. $16.35 11/12/2025 Food and Beverage No dispute reported 06/30/2026 1191803609 CMS
ABBVIE INC. $15.08 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1203556634 CMS
Amgen Inc. $20.08 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1229170485 CMS
Verona Pharma, Inc. $24.13 11/05/2025 Food and Beverage No dispute reported 06/30/2026 1233792496 CMS
Sumitomo Pharma America, Inc. $23.01 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1176803659 CMS
AstraZeneca Pharmaceuticals LP $18.27 10/31/2025 Food and Beverage No dispute reported 06/30/2026 1206579694 CMS
ABBVIE INC. $10.70 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1203556621 CMS
ABBVIE INC. $8.59 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1203556629 CMS
Bayer Healthcare Pharmaceuticals Inc. $32.25 10/30/2025 Food and Beverage No dispute reported 06/30/2026 1225819381 CMS
GlaxoSmithKline, LLC. $25.41 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1190651216 CMS
Exact Sciences Corporation $21.74 10/27/2025 Food and Beverage No dispute reported 06/30/2026 1235400966 CMS
ABBVIE INC. $15.04 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1203556617 CMS
Neurocrine BioSciences, Inc. $25.83 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1242847398 CMS
ABBVIE INC. $17.94 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1203556612 CMS
Lilly USA, LLC $7.62 10/17/2025 Food and Beverage No dispute reported 06/30/2026 1187070681 CMS
ABBVIE INC. $26.36 10/13/2025 Food and Beverage No dispute reported 06/30/2026 1203556606 CMS
PFIZER INC. $0.97 10/10/2025 Food and Beverage No dispute reported 06/30/2026 1230188117 CMS
PFIZER INC. $18.11 10/10/2025 Food and Beverage No dispute reported 06/30/2026 1230188126 CMS
ABBVIE INC. $16.92 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1203556600 CMS
Sumitomo Pharma America, Inc. $21.32 10/09/2025 Food and Beverage No dispute reported 06/30/2026 1176803657 CMS
Amgen Inc. $22.66 10/03/2025 Food and Beverage No dispute reported 06/30/2026 1229170472 CMS
ABBVIE INC. $16.06 09/30/2025 Food and Beverage No dispute reported 06/30/2026 1203556594 CMS
Exact Sciences Corporation $16.96 09/29/2025 Food and Beverage No dispute reported 06/30/2026 1235400962 CMS
ABBVIE INC. $24.35 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1203556588 CMS
ABBVIE INC. $14.90 09/25/2025 Food and Beverage No dispute reported 06/30/2026 1203556582 CMS
Exact Sciences Corporation $9.30 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1235400958 CMS
Verona Pharma, Inc. $15.36 09/19/2025 Food and Beverage No dispute reported 06/30/2026 1233792546 CMS
ABBVIE INC. $10.58 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1203556576 CMS
Lilly USA, LLC $23.14 09/18/2025 Food and Beverage No dispute reported 06/30/2026 1186964254 CMS
Lilly USA, LLC $20.45 09/15/2025 Food and Beverage No dispute reported 06/30/2026 1186945865 CMS
ABBVIE INC. $22.66 09/11/2025 Food and Beverage No dispute reported 06/30/2026 1203556569 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.47 09/11/2025 Food and Beverage No dispute reported 06/30/2026 1223060856 CMS
Indivior Inc. $40.47 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1240563749 CMS
Amneal Pharmaceuticals LLC $27.76 09/08/2025 Food and Beverage No dispute reported 06/30/2026 1220565757 CMS
ABBVIE INC. $5.63 09/05/2025 Food and Beverage No dispute reported 06/30/2026 1203556562 CMS
ABBVIE INC. $15.38 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1203556556 CMS
Vanda Pharmaceuticals Inc. $20.89 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1233129427 CMS
Teva Pharmaceuticals USA, Inc. $19.90 08/29/2025 Food and Beverage No dispute reported 06/30/2026 1247356523 CMS
ABBVIE INC. $19.11 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1203556548 CMS
Lilly USA, LLC $32.26 08/28/2025 Food and Beverage No dispute reported 06/30/2026 1186981720 CMS
AstraZeneca Pharmaceuticals LP $19.86 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1206700119 CMS
Amneal Pharmaceuticals LLC $21.47 08/18/2025 Food and Beverage No dispute reported 06/30/2026 1220565755 CMS
Novo Nordisk Inc $20.21 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1192461795 CMS
PFIZER INC. $1.08 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1230188136 CMS
PFIZER INC. $14.63 08/15/2025 Food and Beverage No dispute reported 06/30/2026 1230188999 CMS
ABBVIE INC. $19.10 08/14/2025 Food and Beverage No dispute reported 06/30/2026 1203556541 CMS
Merck Sharp & Dohme LLC $18.30 08/11/2025 Food and Beverage No dispute reported 06/30/2026 1238335171 CMS
ABBVIE INC. $11.87 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1203556535 CMS
Amgen Inc. $23.00 08/08/2025 Food and Beverage No dispute reported 06/30/2026 1229170478 CMS
Neurocrine BioSciences, Inc. $19.18 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1242891758 CMS
ABBVIE INC. $14.05 08/05/2025 Food and Beverage No dispute reported 06/30/2026 1203556529 CMS
ABBVIE INC. $23.42 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1203556523 CMS
Otsuka America Pharmaceutical, Inc. $25.63 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1227994584 CMS
ABBVIE INC. $22.39 07/24/2025 Food and Beverage No dispute reported 06/30/2026 1203556509 CMS
ABBVIE INC. $12.61 07/24/2025 Food and Beverage No dispute reported 06/30/2026 1203556517 CMS
Neurocrine BioSciences, Inc. $6.34 07/24/2025 Food and Beverage No dispute reported 06/30/2026 1242941200 CMS
Novo Nordisk Inc $24.35 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1192449503 CMS
ABBVIE INC. $11.59 07/17/2025 Food and Beverage No dispute reported 06/30/2026 1203556496 CMS
ABBVIE INC. $4.44 07/17/2025 Food and Beverage No dispute reported 06/30/2026 1203556503 CMS
PFIZER INC. $9.21 07/17/2025 Food and Beverage No dispute reported 06/30/2026 1230226853 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $19.35 07/14/2025 Food and Beverage No dispute reported 06/30/2026 1232029131 CMS
ABBVIE INC. $8.25 07/11/2025 Food and Beverage No dispute reported 06/30/2026 1203556490 CMS
Sumitomo Pharma America, Inc. $29.03 07/10/2025 Food and Beverage No dispute reported 06/30/2026 1176803655 CMS
E.R. Squibb & Sons, L.L.C. $22.08 07/09/2025 Food and Beverage No dispute reported 06/30/2026 1184849002 CMS
Amneal Pharmaceuticals LLC $18.92 07/07/2025 Food and Beverage No dispute reported 06/30/2026 1220565753 CMS
Neurocrine BioSciences, Inc. $22.35 07/03/2025 Food and Beverage No dispute reported 06/30/2026 1242869249 CMS
ABBVIE INC. $11.83 07/02/2025 Food and Beverage No dispute reported 06/30/2026 1203556484 CMS
Amneal Pharmaceuticals LLC $20.67 06/20/2025 Food and Beverage No dispute reported 06/30/2026 1220565751 CMS
PFIZER INC. $17.63 06/19/2025 Food and Beverage No dispute reported 06/30/2026 1229852507 CMS
GlaxoSmithKline, LLC. $19.65 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1191067800 CMS
Amgen Inc. $23.30 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1229170492 CMS
Exact Sciences Corporation $12.90 06/13/2025 Food and Beverage No dispute reported 06/30/2026 1235400954 CMS
ABBVIE INC. $18.99 06/12/2025 Food and Beverage No dispute reported 06/30/2026 1203556478 CMS
ABBVIE INC. $6.19 06/11/2025 Food and Beverage No dispute reported 06/30/2026 1203556472 CMS
Neurocrine BioSciences, Inc. $18.68 06/09/2025 Food and Beverage No dispute reported 06/30/2026 1242895294 CMS
Phathom Pharmaceuticals, Inc. $25.93 06/06/2025 Food and Beverage No dispute reported 06/30/2026 1219283812 CMS
ABBVIE INC. $10.44 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1203556466 CMS
Neurocrine BioSciences, Inc. $10.06 06/05/2025 Food and Beverage No dispute reported 06/30/2026 1242932016 CMS
Kowa Pharmaceuticals America, Inc. $19.44 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1243155034 CMS
ABBVIE INC. $5.95 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1203556460 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.01 05/29/2025 Food and Beverage No dispute reported 06/30/2026 1225819371 CMS
ABBVIE INC. $5.27 05/28/2025 Food and Beverage No dispute reported 06/30/2026 1203556452 CMS
Amneal Pharmaceuticals LLC $20.81 05/23/2025 Food and Beverage No dispute reported 06/30/2026 1220565749 CMS
ABBVIE INC. $14.49 05/22/2025 Food and Beverage No dispute reported 06/30/2026 1203556446 CMS
ABBVIE INC. $17.92 05/16/2025 Food and Beverage No dispute reported 06/30/2026 1203556440 CMS
Lilly USA, LLC $32.30 05/15/2025 Food and Beverage No dispute reported 06/30/2026 1186973176 CMS
E.R. Squibb & Sons, L.L.C. $20.85 05/14/2025 Food and Beverage No dispute reported 06/30/2026 1184848984 CMS
ABBVIE INC. $4.97 05/12/2025 Food and Beverage No dispute reported 06/30/2026 1203556434 CMS
Exact Sciences Corporation $13.94 05/09/2025 Food and Beverage No dispute reported 06/30/2026 1235400950 CMS
Phathom Pharmaceuticals, Inc. $33.51 05/09/2025 Food and Beverage No dispute reported 06/30/2026 1219338626 CMS
ABBVIE INC. $17.24 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1203556428 CMS
Neurocrine BioSciences, Inc. $19.55 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1242889086 CMS
Axsome Therapeutics, Inc. $34.53 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1235731736 CMS
PFIZER INC. $17.23 05/01/2025 Food and Beverage No dispute reported 06/30/2026 1229852853 CMS
ABBVIE INC. $7.53 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1203556422 CMS
Exact Sciences Corporation $23.60 04/28/2025 Food and Beverage No dispute reported 06/30/2026 1235400946 CMS
ABBVIE INC. $11.10 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1203556416 CMS
Neurocrine BioSciences, Inc. $22.52 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1242868101 CMS
ABBVIE INC. $14.57 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1203556410 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $23.31 04/21/2025 Food and Beverage No dispute reported 06/30/2026 1232029129 CMS
ABBVIE INC. $14.97 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1203556390 CMS
ABBVIE INC. $26.03 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1203556396 CMS
ABBVIE INC. $7.16 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1203556403 CMS
Lundbeck LLC $32.82 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1251970507 CMS
Amgen Inc. $24.59 04/11/2025 Food and Beverage No dispute reported 06/30/2026 1229170507 CMS
ABBVIE INC. $10.30 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1203556384 CMS
Amgen Inc. $17.09 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1229170500 CMS
ABBVIE INC. $6.06 04/02/2025 Food and Beverage No dispute reported 06/30/2026 1203556378 CMS
E.R. Squibb & Sons, L.L.C. $21.05 04/01/2025 Food and Beverage No dispute reported 06/30/2026 1184848970 CMS
Bayer Healthcare Pharmaceuticals Inc. $17.45 03/31/2025 Food and Beverage No dispute reported 06/30/2026 1225819366 CMS
Bayer Healthcare Pharmaceuticals Inc. $19.62 03/31/2025 Education No dispute reported 06/30/2026 1225819377 CMS
ABBVIE INC. $25.83 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1203556371 CMS
Phathom Pharmaceuticals, Inc. $21.45 03/25/2025 Food and Beverage No dispute reported 06/30/2026 1219338580 CMS
Lilly USA, LLC $29.82 03/24/2025 Food and Beverage No dispute reported 06/30/2026 1187070679 CMS
ABBVIE INC. $15.97 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1203556365 CMS
Takeda Pharmaceuticals U.S.A., Inc. $26.83 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1223771311 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $26.84 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1223060854 CMS
Seqirus USA Inc $23.70 03/14/2025 Food and Beverage No dispute reported 06/30/2026 1201087656 CMS
ABBVIE INC. $12.71 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1203556359 CMS
PFIZER INC. $17.08 03/13/2025 Food and Beverage No dispute reported 06/30/2026 1229852843 CMS
ABBVIE INC. $13.05 03/07/2025 Food and Beverage No dispute reported 06/30/2026 1203556353 CMS
Phathom Pharmaceuticals, Inc. $21.52 03/07/2025 Food and Beverage No dispute reported 06/30/2026 1219338576 CMS
AstraZeneca Pharmaceuticals LP $26.71 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1207132027 CMS
Axsome Therapeutics, Inc. $29.39 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1235422339 CMS
SANOFI-AVENTIS U.S. LLC $20.09 02/28/2025 Food and Beverage No dispute reported 06/30/2026 1233620236 CMS
ABBVIE INC. $8.34 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1203556345 CMS
PFIZER INC. $6.24 02/27/2025 Food and Beverage No dispute reported 06/30/2026 1230039132 CMS
Exact Sciences Corporation $23.24 02/21/2025 Food and Beverage No dispute reported 06/30/2026 1235400941 CMS
ABBVIE INC. $28.35 02/20/2025 Food and Beverage No dispute reported 06/30/2026 1203556339 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $24.91 02/19/2025 Food and Beverage No dispute reported 06/30/2026 1232029127 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.90 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1241681882 CMS
Neurocrine BioSciences, Inc. $20.80 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1242880064 CMS
ABBVIE INC. $14.12 02/07/2025 Food and Beverage No dispute reported 06/30/2026 1203556332 CMS
Axsome Therapeutics, Inc. $34.71 02/05/2025 Food and Beverage No dispute reported 06/30/2026 1235384142 CMS
Neurocrine BioSciences, Inc. $20.38 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1242882967 CMS
ABBVIE INC. $12.67 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1203556326 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.83 01/24/2025 Food and Beverage No dispute reported 06/30/2026 1223060852 CMS
ABBVIE INC. $15.78 01/23/2025 Food and Beverage No dispute reported 06/30/2026 1203556320 CMS
Amgen Inc. $23.29 01/17/2025 Food and Beverage No dispute reported 06/30/2026 1229170495 CMS
Exact Sciences Corporation $28.98 01/16/2025 Food and Beverage No dispute reported 06/30/2026 1235400937 CMS
Amneal Pharmaceuticals LLC $19.00 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1220565747 CMS
Lilly USA, LLC $22.28 01/15/2025 Food and Beverage No dispute reported 06/30/2026 1186998580 CMS
PFIZER INC. $22.50 01/09/2025 Food and Beverage No dispute reported 06/30/2026 1229856819 CMS
ABBVIE INC. $9.11 01/08/2025 Food and Beverage No dispute reported 06/30/2026 1203556314 CMS
ABBVIE INC. $2.20 01/03/2025 Food and Beverage No dispute reported 06/30/2026 1203556300 CMS
ABBVIE INC. $21.21 01/03/2025 Food and Beverage No dispute reported 06/30/2026 1203556307 CMS
Axsome Therapeutics, Inc. $31.42 01/03/2025 Food and Beverage No dispute reported 06/30/2026 1235347246 CMS
PFIZER INC. $12.57 01/02/2025 Food and Beverage No dispute reported 06/30/2026 1229996534 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, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2021 , 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
AMANDA SPENCE, NPI 1437624087. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1437624087.
APA 7
IndustryPayments. (2026). AMANDA SPENCE, NPI 1437624087 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1437624087
Bluebook
AMANDA SPENCE, NPI 1437624087, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1437624087.

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