Kristen Nelson
Nurse Practitioner · Rapid City, SDNPI 1790049435
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,025 of the $4,618 with a category attached, or 87.2%. AbbVie accounts for 87.2% of it on its own, with 11 other manufacturers making up the rest. 2025 is the largest year on record at $1,364, 3.9 times the $350 reported in 2021. Among nurse practitioner clinicians in SD 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 167 payments — averaging $27.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$4K
- Lilly USA, LLC$135
- Sanofi$121
- Regeneron Healthcare Solutions, Inc.$98
- Incyte Corporation$52
- Merz North America, Inc.$51
- plus $136 from 6 others
What the payments were for
- Consulting fees$58613%
- Food & beverage$4,02587%
- Education$70%
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 |
|---|---|---|
| AbbVie(2 entities) | 136 | $4,026 |
| Lilly USA, LLC | 7 | $135 |
| Sanofi | 6 | $121 |
| Regeneron Healthcare Solutions, Inc. | 5 | $98 |
| Incyte Corporation | 3 | $52 |
| Merz North America, Inc. | 2 | $51 |
| Galderma Laboratories, L.p. | 3 | $48 |
| GSK | 1 | $22 |
| UCB, Inc. | 1 | $18 |
| LEO Pharma Inc. | 1 | $18 |
| Organon | 1 | $17 |
| Johnson & Johnson | 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.
- BOTOX$875
How this compares
$4,618 in reported general payments places this provider in the 95th percentile of 504 nurse practitioner providers in South Dakota.
Other nurse practitioner in Rapid City
- Roger DeraadRapid City$6K
- Caiti KeanRapid City$5K
- Shari FechnerRapid City$4K
- Becky SharpRapid City$4K
- Michele DelzerRapid City$3K
- Marie PattonRapid City$3K
- Joel KirstRapid City$3K
- Christina GrahamRapid City$3K
- Connie TschetterRapid City$3K
- Kristine LarsonRapid City$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.