Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

JESSICA HOWELL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1669845681
CMS profile
10697488
Location
TROY, MO

General Payments · PY2021–2024

$1,308.36

  • Reported across 66 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$604.10

27 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $604.10 27

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $60.13 4
PY2022 $170.90 10
PY2023 $473.23 25
PY2024 $604.10 27

Payment records · PY2024 (27)

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

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $19.63 02/26/2024 Food and Beverage Undisputed 01/23/2026 1107362901 CMS
ABBVIE INC. $31.23 03/22/2024 Food and Beverage Undisputed 01/23/2026 1107362903 CMS
ABBVIE INC. $25.03 09/11/2024 Food and Beverage Undisputed 01/23/2026 1107362905 CMS
ABBVIE INC. $20.98 11/08/2024 Food and Beverage Undisputed 01/23/2026 1107362907 CMS
ABIOMED $95.47 02/07/2024 Food and Beverage Undisputed 01/23/2026 1142268476 CMS
AstraZeneca Pharmaceuticals LP $13.49 03/07/2024 Food and Beverage Undisputed 01/23/2026 1104290088 CMS
AstraZeneca Pharmaceuticals LP $16.13 03/29/2024 Food and Beverage Undisputed 01/23/2026 1104390615 CMS
AstraZeneca Pharmaceuticals LP $13.37 08/23/2024 Food and Beverage Undisputed 01/23/2026 1104622894 CMS
Axsome Therapeutics, Inc. $17.43 10/21/2024 Food and Beverage Undisputed 01/23/2026 1148369303 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.90 08/12/2024 Food and Beverage Undisputed 01/23/2026 1086319282 CMS
Bayer Healthcare Pharmaceuticals Inc. $20.36 11/11/2024 Food and Beverage Undisputed 01/23/2026 1086363457 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $21.35 08/05/2024 Food and Beverage Undisputed 01/23/2026 1118104571 CMS
Cranial Technologies, Inc $22.55 03/04/2024 Food and Beverage Undisputed 01/23/2026 1082245866 CMS
Dexcom, Inc. $23.72 11/18/2024 Food and Beverage Undisputed 01/23/2026 1153366397 CMS
Exact Sciences Corporation $15.98 06/24/2024 Food and Beverage Undisputed 01/23/2026 1114708688 CMS
Kowa Pharmaceuticals America, Inc. $14.27 12/06/2024 Food and Beverage Undisputed 01/23/2026 1113473297 CMS
Lilly USA, LLC $25.97 09/09/2024 Food and Beverage Undisputed 01/23/2026 1135723511 CMS
Mylan Specialty L.P. $17.78 10/11/2024 Food and Beverage Undisputed 01/23/2026 1147318076 CMS
Nevro Corp. $19.90 03/01/2024 Food and Beverage Undisputed 01/23/2026 1130763777 CMS
Novartis Pharmaceuticals Corporation $22.43 09/06/2024 Food and Beverage Undisputed 01/23/2026 1086949187 CMS
Novo Nordisk Inc $16.80 02/16/2024 Food and Beverage Undisputed 01/23/2026 1100517899 CMS
Novo Nordisk Inc $18.93 06/06/2024 Food and Beverage Undisputed 01/23/2026 1100591928 CMS
Novo Nordisk Inc $13.72 09/27/2024 Food and Beverage Undisputed 01/23/2026 1100251170 CMS
Novo Nordisk Inc $16.96 09/30/2024 Food and Beverage Undisputed 01/23/2026 1100653567 CMS
Otsuka America Pharmaceutical, Inc. $13.45 04/23/2024 Food and Beverage Undisputed 01/23/2026 1119098586 CMS
PFIZER INC. $24.27 02/07/2024 Food and Beverage Undisputed 01/23/2026 1131081275 CMS
PFIZER INC. $22.00 07/08/2024 Food and Beverage Undisputed 01/23/2026 1132015352 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
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.