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

SHEENA LEE KREMER

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1689158669
CMS profile
10724548
Location
EVANSDALE, IA

General Payments · PY2021–2024

$1,626.30

  • Reported across 107 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$889.17

57 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 $889.17 57

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $47.05 3
PY2022 $149.89 10
PY2023 $540.19 37
PY2024 $889.17 57

Payment records · PY2024 (57)

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. $16.49 01/10/2024 Food and Beverage Undisputed 01/23/2026 1107486807 CMS
ABBVIE INC. $2.18 01/16/2024 Food and Beverage Undisputed 01/23/2026 1107486809 CMS
ABBVIE INC. $11.98 03/05/2024 Food and Beverage Undisputed 01/23/2026 1107486811 CMS
ABBVIE INC. $19.04 03/13/2024 Food and Beverage Undisputed 01/23/2026 1107486813 CMS
ABBVIE INC. $13.95 03/13/2024 Food and Beverage Undisputed 01/23/2026 1107486815 CMS
ABBVIE INC. $6.25 04/16/2024 Food and Beverage Undisputed 01/23/2026 1107486817 CMS
ABBVIE INC. $7.10 05/14/2024 Food and Beverage Undisputed 01/23/2026 1107486819 CMS
ABBVIE INC. $7.43 05/28/2024 Food and Beverage Undisputed 01/23/2026 1107486821 CMS
ABBVIE INC. $17.76 05/29/2024 Food and Beverage Undisputed 01/23/2026 1107486823 CMS
ABBVIE INC. $30.68 07/03/2024 Food and Beverage Undisputed 01/23/2026 1107486825 CMS
ABBVIE INC. $18.75 07/18/2024 Food and Beverage Undisputed 01/23/2026 1107486827 CMS
ABBVIE INC. $13.64 08/07/2024 Food and Beverage Undisputed 01/23/2026 1107486829 CMS
ABBVIE INC. $6.25 09/19/2024 Food and Beverage Undisputed 01/23/2026 1107486831 CMS
ABBVIE INC. $26.23 10/10/2024 Food and Beverage Undisputed 01/23/2026 1107486833 CMS
ABBVIE INC. $14.91 10/22/2024 Food and Beverage Undisputed 01/23/2026 1107486835 CMS
Almatica Pharma LLC $8.88 01/08/2024 Food and Beverage Undisputed 01/23/2026 1137603064 CMS
Almatica Pharma LLC $25.24 02/07/2024 Food and Beverage Undisputed 01/23/2026 1137603069 CMS
Almatica Pharma LLC $8.14 02/22/2024 Food and Beverage Undisputed 01/23/2026 1137603073 CMS
Almatica Pharma LLC $6.19 03/27/2024 Food and Beverage Undisputed 01/23/2026 1137603078 CMS
Almatica Pharma LLC $8.64 04/18/2024 Food and Beverage Undisputed 01/23/2026 1137603082 CMS
Almatica Pharma LLC $7.00 04/30/2024 Food and Beverage Undisputed 01/23/2026 1137603087 CMS
Almatica Pharma LLC $18.22 06/19/2024 Food and Beverage Undisputed 01/23/2026 1137603091 CMS
Almatica Pharma LLC $4.36 06/24/2024 Food and Beverage Undisputed 01/23/2026 1137603096 CMS
Almatica Pharma LLC $10.59 08/13/2024 Food and Beverage Undisputed 01/23/2026 1137603100 CMS
Almatica Pharma LLC $8.19 09/18/2024 Food and Beverage Undisputed 01/23/2026 1137603105 CMS
Almatica Pharma LLC $7.09 10/02/2024 Food and Beverage Undisputed 01/23/2026 1137603109 CMS
Almatica Pharma LLC $11.51 10/22/2024 Food and Beverage Undisputed 01/23/2026 1137603113 CMS
Almatica Pharma LLC $13.02 11/14/2024 Food and Beverage Undisputed 01/23/2026 1137603118 CMS
Almatica Pharma LLC $12.16 12/12/2024 Food and Beverage Undisputed 01/23/2026 1137603122 CMS
Amgen Inc. $15.72 04/17/2024 Food and Beverage Undisputed 01/23/2026 1117301765 CMS
Amgen Inc. $15.42 07/30/2024 Food and Beverage Undisputed 01/23/2026 1117301767 CMS
Ardelyx, Inc. $14.03 10/09/2024 Food and Beverage Undisputed 01/23/2026 1146733706 CMS
Astellas Pharma US Inc $23.03 02/29/2024 Food and Beverage Undisputed 01/23/2026 1139462392 CMS
Astellas Pharma US Inc $13.58 08/13/2024 Food and Beverage Undisputed 01/23/2026 1139463372 CMS
AstraZeneca Pharmaceuticals LP $20.20 02/22/2024 Food and Beverage Undisputed 01/23/2026 1104306768 CMS
AstraZeneca Pharmaceuticals LP $17.17 08/06/2024 Food and Beverage Undisputed 01/23/2026 1105755049 CMS
Axsome Therapeutics, Inc. $16.08 01/17/2024 Food and Beverage Undisputed 01/23/2026 1148409652 CMS
Axsome Therapeutics, Inc. $16.40 03/06/2024 Food and Beverage Undisputed 01/23/2026 1148409654 CMS
Bayer Healthcare Pharmaceuticals Inc. $24.52 09/06/2024 Food and Beverage Undisputed 01/23/2026 1086295234 CMS
Bayer Healthcare Pharmaceuticals Inc. $23.31 11/27/2024 Food and Beverage Undisputed 01/23/2026 1086351694 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $16.63 01/23/2024 Food and Beverage Undisputed 01/23/2026 1118109913 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.61 05/02/2024 Food and Beverage Undisputed 01/23/2026 1118109915 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $15.09 06/18/2024 Food and Beverage Undisputed 01/23/2026 1118109911 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $25.06 08/21/2024 Food and Beverage Undisputed 01/23/2026 1118109917 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $32.82 10/24/2024 Food and Beverage Undisputed 01/23/2026 1118109919 CMS
Exact Sciences Corporation $17.53 01/30/2024 Food and Beverage Undisputed 01/23/2026 1114505233 CMS
IDORSIA PHARMACEUTICALS US INC $15.94 01/04/2024 Food and Beverage Undisputed 01/23/2026 1146762555 CMS
Lilly USA, LLC $21.36 07/09/2024 Food and Beverage Undisputed 01/23/2026 1135947323 CMS
Lundbeck LLC $21.35 03/27/2024 Food and Beverage Undisputed 01/23/2026 1146047924 CMS
Mylan Specialty L.P. $13.12 04/03/2024 Food and Beverage Undisputed 01/23/2026 1147339938 CMS
Mylan Specialty L.P. $14.76 05/07/2024 Food and Beverage Undisputed 01/23/2026 1147351615 CMS
Novo Nordisk Inc $16.20 04/23/2024 Food and Beverage Undisputed 01/23/2026 1100533729 CMS
Novo Nordisk Inc $13.53 09/17/2024 Food and Beverage Undisputed 01/23/2026 1100296285 CMS
Novo Nordisk Inc $21.83 11/06/2024 Food and Beverage Undisputed 01/23/2026 1100290646 CMS
Phathom Pharmaceuticals, Inc. $26.58 12/17/2024 Food and Beverage Undisputed 01/23/2026 1151180872 CMS
VERTEX PHARMACEUTICALS INCORPORATED $19.16 11/07/2024 Food and Beverage Undisputed 01/23/2026 1105924379 CMS
Xeris Pharmaceuticals, Inc. $16.27 08/29/2024 Food and Beverage Undisputed 01/23/2026 1144638684 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.