Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

Covered recipient · General Payments record

CRYSTAL SHANICE FLORES-ALAMO

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner

NPI
1932889318
CMS profile
11477475
Location
NAMPA, ID

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

General Payments · PY2023–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$926.18

49 records · 0 disputed

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $926.18 49

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2023 $67.44 1
PY2024 $499.13 23
PY2025 $926.18 49

Payment records · PY2025 (49)

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

Program year 2025 20232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Axsome Therapeutics, Inc. $14.63 11/20/2025 Food and Beverage No dispute reported 06/30/2026 1235632044 CMS
Novo Nordisk Inc $19.07 11/13/2025 Food and Beverage No dispute reported 06/30/2026 1188658501 CMS
Axsome Therapeutics, Inc. $4.49 11/06/2025 Food and Beverage No dispute reported 06/30/2026 1235631953 CMS
Lundbeck LLC $18.67 11/04/2025 Food and Beverage No dispute reported 06/30/2026 1251899025 CMS
Corcept Therapeutics $16.40 11/03/2025 Food and Beverage No dispute reported 06/30/2026 1214205235 CMS
Astellas Pharma US Inc $21.71 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1238701332 CMS
Exact Sciences Corporation $21.24 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1235678502 CMS
Novartis Pharmaceuticals Corporation $24.95 10/24/2025 Food and Beverage No dispute reported 06/30/2026 1200244154 CMS
PFIZER INC. $25.52 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1230781900 CMS
Vanda Pharmaceuticals Inc. $21.78 09/16/2025 Food and Beverage No dispute reported 06/30/2026 1233054062 CMS
Tris Pharma Inc $16.70 09/04/2025 Food and Beverage No dispute reported 06/30/2026 1192259275 CMS
ABBVIE INC. $14.21 08/07/2025 Food and Beverage No dispute reported 06/30/2026 1203804229 CMS
Vanda Pharmaceuticals Inc. $21.57 07/31/2025 Food and Beverage No dispute reported 06/30/2026 1233054060 CMS
Exact Sciences Corporation $17.32 07/29/2025 Food and Beverage No dispute reported 06/30/2026 1235678498 CMS
Axsome Therapeutics, Inc. $15.47 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1235493048 CMS
Salix Pharmaceuticals, a division of Bausch Health US, LLC $15.33 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1232055088 CMS
Vanda Pharmaceuticals Inc. $6.22 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1233054058 CMS
Novo Nordisk Inc $15.88 06/16/2025 Food and Beverage No dispute reported 06/30/2026 1188586042 CMS
Phathom Pharmaceuticals, Inc. $15.09 05/21/2025 Food and Beverage No dispute reported 06/30/2026 1219388773 CMS
Novo Nordisk Inc $20.66 05/13/2025 Food and Beverage No dispute reported 06/30/2026 1188290693 CMS
Viatris Specialty LLC $15.61 05/12/2025 Food and Beverage No dispute reported 06/30/2026 1238481487 CMS
Otsuka America Pharmaceutical, Inc. $21.22 05/08/2025 Food and Beverage No dispute reported 06/30/2026 1227697934 CMS
Novo Nordisk Inc $17.28 05/05/2025 Food and Beverage No dispute reported 06/30/2026 1188665617 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $18.08 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1241516147 CMS
Organon LLC $6.34 04/30/2025 Food and Beverage No dispute reported 06/30/2026 1237799660 CMS
Vanda Pharmaceuticals Inc. $24.50 04/22/2025 Food and Beverage No dispute reported 06/30/2026 1233054056 CMS
Exeltis, USA Inc. $17.62 04/17/2025 Food and Beverage No dispute reported 06/30/2026 1218212879 CMS
Novartis Pharmaceuticals Corporation $19.72 04/14/2025 Food and Beverage No dispute reported 06/30/2026 1200378072 CMS
ABBVIE INC. $14.01 04/10/2025 Food and Beverage No dispute reported 06/30/2026 1203804223 CMS
Novo Nordisk Inc $23.89 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1188871096 CMS
Vanda Pharmaceuticals Inc. $14.51 04/07/2025 Food and Beverage No dispute reported 06/30/2026 1233054054 CMS
Vanda Pharmaceuticals Inc. $19.40 03/18/2025 Food and Beverage No dispute reported 06/30/2026 1233054052 CMS
Otsuka America Pharmaceutical, Inc. $15.94 03/17/2025 Food and Beverage No dispute reported 06/30/2026 1227697930 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $22.71 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1241516145 CMS
Lilly USA, LLC $105.21 03/12/2025 Food and Beverage No dispute reported 06/30/2026 1187119667 CMS
PFIZER INC. $20.64 03/11/2025 Food and Beverage No dispute reported 06/30/2026 1228913303 CMS
Lilly USA, LLC $18.73 03/10/2025 Food and Beverage No dispute reported 06/30/2026 1187107637 CMS
Alkermes, Inc. $17.36 03/06/2025 Food and Beverage No dispute reported 06/30/2026 1222501325 CMS
Novo Nordisk Inc $20.73 03/04/2025 Food and Beverage No dispute reported 06/30/2026 1188981032 CMS
Vanda Pharmaceuticals Inc. $11.20 03/03/2025 Food and Beverage No dispute reported 06/30/2026 1233054050 CMS
Axsome Therapeutics, Inc. $26.74 02/25/2025 Food and Beverage No dispute reported 06/30/2026 1235362919 CMS
Vanda Pharmaceuticals Inc. $6.14 02/18/2025 Food and Beverage No dispute reported 06/30/2026 1233054048 CMS
Novo Nordisk Inc $15.88 02/08/2025 Food and Beverage No dispute reported 06/30/2026 1188990662 CMS
Novartis Pharmaceuticals Corporation $15.35 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1200378066 CMS
Vanda Pharmaceuticals Inc. $6.44 02/03/2025 Food and Beverage No dispute reported 06/30/2026 1233054046 CMS
Otsuka America Pharmaceutical, Inc. $16.09 01/27/2025 Food and Beverage No dispute reported 06/30/2026 1227697924 CMS
ABBVIE INC. $18.72 01/14/2025 Food and Beverage No dispute reported 06/30/2026 1203804218 CMS
Axsome Therapeutics, Inc. $11.49 01/10/2025 Food and Beverage No dispute reported 06/30/2026 1235759840 CMS
Vanda Pharmaceuticals Inc. $17.72 01/08/2025 Food and Beverage No dispute reported 06/30/2026 1233054044 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.

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Cite this record.

Plain
CRYSTAL SHANICE FLORES-ALAMO, NPI 1932889318. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1932889318.
APA 7
IndustryPayments. (2026). CRYSTAL SHANICE FLORES-ALAMO, NPI 1932889318 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1932889318
Bluebook
CRYSTAL SHANICE FLORES-ALAMO, NPI 1932889318, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1932889318.

Source: Centers for Medicare & Medicaid Services, Open Payments.