Kristen Kreinest, APRN
Nurse Practitioner · Edgewood, KYNPI 1295283257
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $25,360 of the $33,687 with a category attached, or 75.3%. Medtronic accounts for 93.4% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2023 at $12,778 and has fallen 83.3% since, to $2,133 in 2025. Among nurse practitioner clinicians in KY 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 251 payments — averaging $134.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$31K
- Astellas Pharma US Inc$630
- Sumitomo Pharma America, Inc.$547
- AbbVie$294
- Pfizer$198
- Urovant Sciences Inc$156
- plus $401 from 9 others
Across 2 payments — averaging $105.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Medtronic$210
What the payments were for
- Consulting fees$1400%
- Speaking & faculty fees$25,36075%
- Travel & lodging$2,7978%
- Food & beverage$5,22316%
- Education$1680%
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 | 114 | $31,461 |
| Astellas Pharma US Inc | 31 | $630 |
| Sumitomo Pharma America, Inc. | 44 | $547 |
| AbbVie(2 entities) | 16 | $294 |
| Pfizer | 13 | $198 |
| Urovant Sciences Inc | 15 | $156 |
| Convatec Inc. | 3 | $101 |
| Intuitive Surgical | 1 | $70 |
| Therapeuticsmd, Inc. | 4 | $66 |
| Mayne Pharma Commercial LLC | 3 | $61 |
| Coloplast | 3 | $48 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
| Merck | 1 | $14 |
| Boston Scientific | 1 | $13 |
| Axonics, Inc. | 1 | $13 |
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.
- INTERSTIM$28,854
- INTELLIS ADAPTIVESTIM$277
- NURO$140
How this compares
$33,687 in reported general payments places this provider in the 95th percentile of 1,918 nurse practitioner providers in Kentucky.
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 |
|---|---|---|
| MyrbetriqMirabegron | 325 | $233,647 |
| GemtesaVibegron | 255 | $183,160 |
| Mirabegron ErMirabegron | 39 | $26,440 |
| Estradiol | 395 | $19,679 |
| PremarinEstrogens, Conjugated | 41 | $15,231 |
| Trospium Chloride ErTrospium Chloride | 114 | $12,259 |
| Trospium Chloride | 195 | $10,826 |
| Tolterodine Tartrate ErTolterodine Tartrate | 77 | $5,190 |
| Fosfomycin Tromethamine | 26 | $4,072 |
| Oxybutynin Chloride ErOxybutynin Chloride | 195 | $3,162 |
| Clobetasol Propionate | 74 | $2,700 |
| Fesoterodine Fumarate ErFesoterodine Fumarate | 61 | $2,672 |
| NitrofurantoinNitrofurantoin Macrocrystal | 130 | $2,486 |
| Solifenacin Succinate | 65 | $2,359 |
| Nitrofurantoin Mono-MacroNitrofurantoin Monohyd/M-Cryst | 216 | $1,878 |
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 |
|---|---|---|
| Astellas Pharma US IncMyrbetriq | $630 | $233,647325 claims |
| Sumitomo Pharma America, Inc.Gemtesa | $547 | $183,160255 claims |
| PfizerPremarin | $198 | $15,23141 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 1,918 nurse practitioner providers in Kentucky.
Other nurse practitioner in Edgewood
- Lillian ArgentEdgewood$33K
- Rachael BradfordLexington$447K
- Tara MuddLouisville$243K
- Lee HaasLouisville$95K
- Ashley KnableLouisville$86K
- Christina BenningerLouisville$81K
- Courtney BowlingCampbellsville$47K
- Rebecca BraunerLouisville$40K
- Scott SeitzWinchester$34K
- Juawanna SchullerLexington$26K
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.