APRIL F KIBBLE

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Family JACKSON, MO NPI 1568716942

General Payments — all program years on this page

$2,783.25

  • Category: General Payments
  • Program years: PY2021–2024
  • Record count: 154
  • As of (CMS publication): 2026-01-23

Latest program year (PY2024): $750.07 across 40 records · disputed records: 0

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

How this figure is 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

Latest program year (PY2024) · sorted by reported total.

Nature of paymentAmountRecords
Food and Beverage $750.0740

By paying entity

Latest program year (PY2024) · sorted by reported total.

By program year

Program yearAmountRecords
2021 $383.3624
2022 $1,164.0165
2023 $485.8125
2024 $750.0740

Records — PY2024 (40)

Record IDPaying entityAmountDate Nature of paymentDispute statusPublishedSource
1086967906 Novartis Pharmaceuticals Corporation $17.98 01/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086967908 Novartis Pharmaceuticals Corporation $23.57 03/11/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086967910 Novartis Pharmaceuticals Corporation $23.46 07/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1086967914 Novartis Pharmaceuticals Corporation $18.13 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100232952 Novo Nordisk Inc $15.66 05/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100446869 Novo Nordisk Inc $20.34 09/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100498079 Novo Nordisk Inc $21.26 08/28/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100623682 Novo Nordisk Inc $19.18 07/31/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1100642104 Novo Nordisk Inc $17.29 02/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105589766 AstraZeneca Pharmaceuticals LP $17.86 12/09/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105716538 AstraZeneca Pharmaceuticals LP $19.73 03/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1105816697 AstraZeneca Pharmaceuticals LP $13.51 10/24/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107459056 ABBVIE INC. $21.46 02/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107459058 ABBVIE INC. $16.44 02/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107459060 ABBVIE INC. $31.95 06/12/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107459062 ABBVIE INC. $15.81 06/20/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1107459064 ABBVIE INC. $17.67 08/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114455325 Exact Sciences Corporation $26.67 09/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1114455328 Exact Sciences Corporation $22.19 12/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1115810655 Amgen Inc. $19.96 12/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1116304849 GlaxoSmithKline, LLC. $14.18 01/30/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117597942 Amgen Inc. $13.89 08/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1117597944 Amgen Inc. $18.22 10/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1118062528 Boehringer Ingelheim Pharmaceuticals, Inc. $17.57 07/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119111785 Otsuka America Pharmaceutical, Inc. $14.97 03/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1119111787 Otsuka America Pharmaceutical, Inc. $23.54 05/13/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135476790 Lilly USA, LLC $15.81 03/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135476792 Lilly USA, LLC $15.81 04/29/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135537839 Lilly USA, LLC $21.54 07/08/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135561706 Lilly USA, LLC $21.08 09/02/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135561708 Lilly USA, LLC $21.24 05/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135561710 Lilly USA, LLC $22.53 09/04/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135566426 Lilly USA, LLC $15.81 02/16/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135566428 Lilly USA, LLC $25.50 01/23/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135566430 Lilly USA, LLC $1.63 07/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1135566432 Lilly USA, LLC $22.31 03/26/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1136190158 Organon Llc $12.40 12/05/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1141636245 Merck Sharp & Dohme LLC $17.34 11/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1148972252 Sumitomo Pharma America, Inc. $20.32 07/15/2024 Food and Beverage Undisputed 01/23/2026 View at CMS
1151179692 Phathom Pharmaceuticals, Inc. $14.26 03/06/2024 Food and Beverage Undisputed 01/23/2026 View at CMS

Provenance & corrections

  • Dataset: CMS Open Payments — General Payments
  • Source: CMS Open Payments dataset (bulk file)
  • Publisher of source data: Centers for Medicare & Medicaid Services
  • Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.