Kristin Nobles
Advanced Practice Midwife · Ocala, FLNPI 1235591553
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 39 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 22 manufacturers, the largest accounting for just 13.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $1,006, 6.8 times the $148 reported in 2021. Among advanced practice midwife clinicians in FL 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 39 payments — averaging $69.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$366
- Neurocrine Biosciences, Inc.$348
- Teva Pharmaceuticals USA, Inc.$244
- Sanofi$239
- Regeneron Healthcare Solutions, Inc.$228
- Alnylam Pharmaceuticals Inc.$169
- plus $1K from 16 others
What the payments were for
- Food & beverage$2,691100%
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 |
|---|---|---|
| Boston Scientific | 3 | $366 |
| Neurocrine Biosciences, Inc. | 3 | $348 |
| Teva Pharmaceuticals USA, Inc. | 2 | $244 |
| Sanofi | 3 | $239 |
| Regeneron Healthcare Solutions, Inc. | 2 | $228 |
| Alnylam Pharmaceuticals Inc. | 2 | $169 |
| AbbVie | 8 | $158 |
| Amgen(2 entities) | 2 | $155 |
| Pulmonx Corporation | 1 | $147 |
| Beone Medicines USA, Inc. | 1 | $125 |
| Pharmaessentia USA Corporation | 1 | $119 |
| Lilly USA, LLC | 1 | $99 |
| Lexicon Pharmaceuticals, Inc. | 1 | $90 |
| Ferring Pharmaceuticals Inc. | 1 | $37 |
| Minerva Surgical, Inc | 1 | $36 |
| Exeltis, USA Inc. | 1 | $25 |
| Olympus America Inc. | 1 | $20 |
| Hologic Sales And Service, LLC | 1 | $20 |
| Evofem Biosciences, Inc. | 1 | $19 |
| Sumitomo Pharma America, Inc. | 1 | $18 |
| Bayer | 1 | $14 |
| Therapeuticsmd, 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.
- INGREZZA$348
- WATCHMAN FLX$255
- Austedo XR$244
- CHARTIS CATHETER$147
- ZEPHYR DELIVERY CATHETER$147
- ZEPHYR ENDOBRONCHIAL VALVE$147
- PULMONX CHARTIS TABLET CONSOLE$147
- BRUKINSA$125
- BESREMI$119
- DUPIXENT$119
- WATCHMAN Access System$111
- EVKEEZA$109
How this compares
$2,691 in reported general payments places this provider in the 95th percentile of 579 advanced practice midwife providers in Florida.
Other advanced practice midwife in Ocala
- Natesha VaillancourtOcala$1K
- Laura RussellBrandon$118K
- Renita GreenTampa$7K
- Jillian JerniganMilton$6K
- Jessica BrumleyTampa$5K
- Cristina PalermitiZephyrhills$5K
- Ilona BlumbergBoynton Beach$4K
- Jacinta FeldmanDeland$3K
- Erin FinchLake Mary$3K
- Susan McCormickSarasota$3K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.