Joel Nagel, NP
Nurse Practitioner · Fort Wayne, INNPI 1619203692
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $17,399 of the $19,755 with a category attached, or 88.1%. 12 manufacturers reported payments, led by Viatris Specialty LLC at 52.1% of the total. 2025 is the largest year on record at $10,412, more than ten times the $358 reported in 2021. Among nurse practitioner clinicians in IN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 82 payments — averaging $240.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Viatris Specialty LLC$10K
- Mylan Specialty L.p.$8K
- Acadia Pharmaceuticals Inc$189
- Neurocrine Biosciences, Inc.$125
- Urovant Sciences Inc$125
- AstraZeneca$119
- plus $436 from 6 others
What the payments were for
- Speaking & faculty fees$17,39988%
- Travel & lodging$1,0235%
- Food & beverage$1,3327%
- Education$10%
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 |
|---|---|---|
| Viatris Specialty LLC | 38 | $10,296 |
| Mylan Specialty L.p. | 29 | $8,465 |
| Acadia Pharmaceuticals Inc | 5 | $189 |
| Neurocrine Biosciences, Inc. | 1 | $125 |
| Urovant Sciences Inc | 1 | $125 |
| AstraZeneca | 1 | $119 |
| Bayer | 1 | $118 |
| Otsuka America Pharmaceutical, Inc. | 1 | $116 |
| Neurelis, Inc. | 1 | $110 |
| AbbVie | 2 | $58 |
| Teva Pharmaceuticals USA, Inc. | 1 | $19 |
| Sunovion Pharmaceuticals Inc. | 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
$19,755 in reported general payments places this provider in the 95th percentile of 2,724 nurse practitioner providers in Indiana.
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 |
|---|---|---|
| TrulicityDulaglutide | 118 | $104,307 |
| JardianceEmpagliflozin | 207 | $83,055 |
| MounjaroTirzepatide | 83 | $77,954 |
| XifaxanRifaximin | 17 | $36,759 |
| YupelriRevefenacin | 22 | $33,086 |
| OzempicSemaglutide | 31 | $30,759 |
| TradjentaLinagliptin | 123 | $29,738 |
| XareltoRivaroxaban | 83 | $24,677 |
| FarxigaDapagliflozin Propanediol | 112 | $23,763 |
| MyrbetriqMirabegron | 85 | $21,481 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 25 | $20,081 |
| LinzessLinaclotide | 33 | $19,038 |
| EliquisApixaban | 39 | $16,818 |
| BriviactBrivaracetam | 16 | $14,228 |
| GemtesaVibegron | 41 | $11,214 |
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 |
|---|---|---|
| Mylan Specialty L.p.Yupelri | $8,465 | $33,08622 claims |
| AstraZenecaFarxiga | $119 | $23,763112 claims |
| AbbVieLinzess | $58 | $19,03833 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 95th percentile of 2,724 nurse practitioner providers in Indiana.
Other nurse practitioner in Fort Wayne
- Sean GoddardFort Wayne$180K
- Kristine TaylorFort Wayne$69K
- Mary BullisFort Wayne$27K
- Nathan MinerFort Wayne$21K
- Gabriela NorthFort Wayne$18K
- Karen LothamerFort Wayne$12K
- Pamela ShodaFort Wayne$11K
- Sara CoburnFort Wayne$9K
- Marlise FletterFort Wayne$9K
- Kristi OrbaughIndianapolis$1.3M
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.