Alissa Fletcher
Nurse Practitioner · Neptune Beach, FLNPI 1215676291
Payments from drug & device makers
Across 140 payments — averaging $19.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pfizer$435
- Novartis$409
- Daiichi Sankyo Inc.$251
- Seagen Inc.$163
- Merck$124
- Sanofi$110
- plus $1K from 33 others
What the payments were for
- Food & beverage$2,42588%
- Education$31712%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Pfizer | 24 | $435 |
| Novartis | 24 | $409 |
| Daiichi Sankyo Inc. | 7 | $251 |
| Seagen Inc. | 6 | $163 |
| Merck | 5 | $124 |
| Sanofi | 8 | $110 |
| Genentech USA, Inc. | 7 | $100 |
| AstraZeneca(2 entities) | 6 | $98 |
| Johnson & Johnson | 5 | $94 |
| Bristol Myers Squibb | 4 | $77 |
| Avanos Medical | 1 | $74 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $63 |
| AbbVie | 4 | $61 |
| Exelixis Inc. | 3 | $49 |
| Eisai Inc. | 2 | $42 |
| Sanofi-aventis U.S. LLC | 1 | $42 |
| Acrotech Biopharma Inc. | 2 | $42 |
| Array Biopharma Inc | 2 | $38 |
| Lilly USA, LLC | 2 | $38 |
| Stemline Therapeutics Inc. | 2 | $37 |
| Boston Scientific | 1 | $30 |
| E.r. Squibb & Sons, L.L.C. | 1 | $29 |
| Coherus Oncology, Inc. | 1 | $29 |
| Shield Therapeutics Inc | 1 | $27 |
| Sobi, Inc | 2 | $27 |
| Alnylam Pharmaceuticals Inc. | 1 | $27 |
| Astellas Pharma US Inc | 2 | $26 |
| Orthofix Medical, Inc. | 1 | $26 |
| GSK | 1 | $22 |
| Novocure Inc. | 1 | $20 |
| Rigel Pharmaceuticals, Inc. | 1 | $20 |
| Bayer | 1 | $18 |
| Gilead | 1 | $18 |
| Jazz Pharmaceuticals Inc. | 1 | $15 |
| Legend Biotech USA Inc. | 1 | $15 |
| Taiho Oncology, Inc. | 1 | $13 |
| Kyowa Kirin, Inc. | 1 | $13 |
| Pharmaessentia USA Corporation | 1 | $12 |
| ADMA Biomanufacturing LLC | 1 | $9 |
How this compares
$2,742 in reported general payments places this provider in the 85th percentile of 8,290 nurse practitioner providers in Florida.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| TagrissoOsimertinib Mesylate | 16 | $273,184 |
| BrukinsaZanubrutinib | 12 | $179,887 |
| EliquisApixaban | 76 | $57,303 |
| XareltoRivaroxaban | 33 | $29,335 |
| Letrozole | 74 | $1,572 |
| Enoxaparin Sodium | 11 | $1,483 |
| Hydroxyurea | 47 | $1,175 |
| Anastrozole | 23 | $398 |
| Dexamethasone | 17 | $305 |
| Tamoxifen Citrate | 17 | $298 |
| Warfarin Sodium | 24 | $191 |
| Gabapentin | 19 | $168 |
| Ondansetron Hcl | 11 | $136 |
| Prednisone | 15 | $76 |
| JantovenWarfarin Sodium | 13 | $73 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AstraZenecaTagrisso | $98 | $273,18416 claims |
| PfizerEliquis | $435 | $57,30376 claims |
| Johnson & JohnsonXarelto | $94 | $29,33533 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 8,290 nurse practitioner providers in Florida.
Other nurse practitioner in Neptune Beach
- Jolanta BaginskiClearwater$494K
- Adissa PerezWinter Park$370K
- April WessonTampa$342K
- Margarita FernandezMiami$311K
- Stephanie SimmermanNaples$283K
- Claudette WalkerPonte Vedra Beach$271K
- Lisa NodzonTampa$246K
- Ashima BahlTampa$226K
- Maya BloombergMiami$202K
- Jennifer PuleoTampa$171K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.