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

MELISSA J KISTNER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1679051106
CMS profile
10657986
Location
CHESAPEAKE, VA

General Payments · PY2021–2024

$2,662.73

  • Reported across 127 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$488.81

25 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 $488.81 25

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $1,038.16 50
PY2022 $603.52 24
PY2023 $532.24 28
PY2024 $488.81 25

Payment records · PY2024 (25)

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
BioCryst US Sales Co., LLC $22.49 01/04/2024 Food and Beverage Undisputed 01/23/2026 1117476866 CMS
BioCryst US Sales Co., LLC $28.09 04/19/2024 Food and Beverage Undisputed 01/23/2026 1117477662 CMS
CSL Behring $16.58 07/10/2024 Food and Beverage Undisputed 01/23/2026 1134660637 CMS
CSL Behring $13.27 09/19/2024 Food and Beverage Undisputed 01/23/2026 1134660651 CMS
GENZYME CORPORATION $25.49 02/07/2024 Food and Beverage Undisputed 01/23/2026 1139916387 CMS
GENZYME CORPORATION $21.57 03/13/2024 Food and Beverage Undisputed 01/23/2026 1139916405 CMS
GENZYME CORPORATION $24.18 08/21/2024 Food and Beverage Undisputed 01/23/2026 1139916455 CMS
GlaxoSmithKline, LLC. $15.45 02/15/2024 Food and Beverage Undisputed 01/23/2026 1116399302 CMS
GlaxoSmithKline, LLC. $13.21 12/19/2024 Food and Beverage Undisputed 01/23/2026 1116664991 CMS
Octapharma USA, Inc. $20.12 12/12/2024 Food and Beverage Undisputed 01/23/2026 1142322508 CMS
PFIZER INC. $19.80 03/08/2024 Food and Beverage Undisputed 01/23/2026 1131283782 CMS
Pharming Healthcare, Inc. $22.51 05/23/2024 Food and Beverage Undisputed 01/23/2026 1132178060 CMS
Regeneron Healthcare Solutions, Inc. $7.90 01/12/2024 Food and Beverage Undisputed 01/23/2026 1114326923 CMS
Regeneron Healthcare Solutions, Inc. $10.05 03/08/2024 Food and Beverage Undisputed 01/23/2026 1114326925 CMS
Regeneron Healthcare Solutions, Inc. $28.40 04/01/2024 Food and Beverage Undisputed 01/23/2026 1114326927 CMS
Regeneron Healthcare Solutions, Inc. $15.24 04/10/2024 Food and Beverage Undisputed 01/23/2026 1114326929 CMS
Regeneron Healthcare Solutions, Inc. $18.77 05/01/2024 Food and Beverage Undisputed 01/23/2026 1114326931 CMS
Regeneron Healthcare Solutions, Inc. $19.00 05/15/2024 Food and Beverage Undisputed 01/23/2026 1114326933 CMS
Regeneron Healthcare Solutions, Inc. $19.34 06/19/2024 Food and Beverage Undisputed 01/23/2026 1114326935 CMS
Regeneron Healthcare Solutions, Inc. $18.81 07/17/2024 Food and Beverage Undisputed 01/23/2026 1114326937 CMS
Regeneron Healthcare Solutions, Inc. $19.46 08/07/2024 Food and Beverage Undisputed 01/23/2026 1114326939 CMS
Regeneron Healthcare Solutions, Inc. $11.81 08/19/2024 Food and Beverage Undisputed 01/23/2026 1114326941 CMS
Regeneron Healthcare Solutions, Inc. $25.65 09/16/2024 Food and Beverage Undisputed 01/23/2026 1114326943 CMS
Regeneron Healthcare Solutions, Inc. $22.23 09/18/2024 Food and Beverage Undisputed 01/23/2026 1114326945 CMS
Takeda Pharmaceuticals U.S.A., Inc. $29.39 03/06/2024 Food and Beverage Undisputed 01/23/2026 1137775365 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.