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

NIRVA JOSEPH GUILLAUME

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care

NPI
1720704463
CMS profile
11401678
Location
SHENANDOAH, TX

General Payments · PY2023–2024

$839.41

  • Reported across 16 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$716.91

14 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 $716.91 14

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
GENZYME CORPORATION $344.06 3
ABBVIE INC. $186.43 9
Mylan Specialty L.P. $124.99 1
Biogen, Inc. $61.43 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $122.50 2
PY2024 $716.91 14

Payment records · PY2024 (14)

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

Program year 2024 2023 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. $106.95 01/04/2024 Food and Beverage Undisputed 01/23/2026 1107427429 CMS
ABBVIE INC. $15.93 01/18/2024 Food and Beverage Undisputed 01/23/2026 1107427431 CMS
ABBVIE INC. $3.81 03/07/2024 Food and Beverage Undisputed 01/23/2026 1107427433 CMS
ABBVIE INC. $14.47 03/27/2024 Food and Beverage Undisputed 01/23/2026 1107427435 CMS
ABBVIE INC. $5.58 05/08/2024 Food and Beverage Undisputed 01/23/2026 1107427437 CMS
ABBVIE INC. $14.47 05/22/2024 Food and Beverage Undisputed 01/23/2026 1107427439 CMS
ABBVIE INC. $6.91 08/02/2024 Food and Beverage Undisputed 01/23/2026 1107427441 CMS
ABBVIE INC. $11.98 08/13/2024 Food and Beverage Undisputed 01/23/2026 1107427443 CMS
ABBVIE INC. $6.33 09/04/2024 Food and Beverage Undisputed 01/23/2026 1107427445 CMS
Biogen, Inc. $61.43 02/22/2024 Food and Beverage Undisputed 01/23/2026 1104854670 CMS
GENZYME CORPORATION $106.05 01/18/2024 Food and Beverage Undisputed 01/23/2026 1139989911 CMS
GENZYME CORPORATION $121.86 04/18/2024 Food and Beverage Undisputed 01/23/2026 1139989915 CMS
GENZYME CORPORATION $116.15 10/16/2024 Food and Beverage Undisputed 01/23/2026 1139989953 CMS
Mylan Specialty L.P. $124.99 07/17/2024 Food and Beverage Undisputed 01/23/2026 1147286162 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
2023, 2024
Source files
Dataset page · Bulk file · 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.