Christianne Jaffe, APRN
Nurse Practitioner · Kalispell, MTNPI 1225350879
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $693 of the $792 with a category attached, or 87.5%. 11 manufacturers reported payments, led by Medtronic at 33.7% of the total. 2025 is the largest year on record at $388, 6.7 times the $58 reported in 2021. Among nurse practitioner clinicians in MT with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 20 payments — averaging $39.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$267
- E.r. Squibb & Sons, L.L.C.$115
- Johnson & Johnson$99
- Takeda Pharmaceuticals U.S.A., Inc.$78
- Boston Scientific$58
- Madrigal Pharmaceuticals$54
- plus $123 from 5 others
What the payments were for
- Food & beverage$69388%
- Education$9912%
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 |
|---|---|---|
| Medtronic | 6 | $267 |
| E.r. Squibb & Sons, L.L.C. | 1 | $115 |
| Johnson & Johnson | 1 | $99 |
| Takeda Pharmaceuticals U.S.A., Inc. | 3 | $78 |
| Boston Scientific | 1 | $58 |
| Madrigal Pharmaceuticals | 2 | $54 |
| Pfizer | 2 | $48 |
| Regeneron Healthcare Solutions, Inc. | 1 | $24 |
| Ipsen Biopharmaceuticals, Inc | 1 | $22 |
| Ardelyx, Inc. | 1 | $15 |
| Novo Nordisk | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$792 in reported general payments places this provider in the 90th percentile of 357 nurse practitioner providers in Montana.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| LinzessLinaclotide | 24 | $16,043 |
| Omeprazole | 145 | $1,638 |
| Esomeprazole Magnesium | 37 | $1,588 |
| Pantoprazole Sodium | 207 | $1,373 |
| CholestyramineCholestyramine (With Sugar) | 17 | $1,152 |
| Lubiprostone | 15 | $1,095 |
| LoperamideLoperamide Hcl | 15 | $806 |
| Dicyclomine Hcl | 27 | $589 |
| Sucralfate | 15 | $433 |
| Spironolactone | 26 | $334 |
| Famotidine | 58 | $325 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 14 | $283 |
| Ondansetron OdtOndansetron | 13 | $122 |
| Furosemide | 17 | $46 |
| Amitriptyline Hcl | 11 | $41 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Kalispell
- Kirsten SvennungsenKalispell$595
- Diane MuellerKalispell$460
- Sarah BergMissoula$381K
- Arlon BennettFlorence$268K
- Sydney HansonButte$11K
- Jennifer TerrellBillings$7K
- Amanda Abrams-BuerkleyBillings$6K
- Bowen TrystiansonGreat Falls$6K
- Andrea LappBillings$4K
- Amber MolnarGreat Falls$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.