Mary Guell
Nurse Practitioner · Little Rock, ARNPI 1619157591
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.0% of the total across 220 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 20 manufacturers reported payments, led by Amgen at 28.4% of the total. Among nurse practitioner clinicians in AR 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 220 payments — averaging $22.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$1K
- Travere Therapeutics, Inc.$824
- AstraZeneca$542
- Novartis$371
- Fresenius USA Marketing, Inc.$364
- Mallinckrodt Hospital Products Inc.$280
- plus $1K from 14 others
What the payments were for
- Food & beverage$4,66495%
- Education$2445%
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 |
|---|---|---|
| Amgen(2 entities) | 68 | $1,393 |
| Travere Therapeutics, Inc. | 34 | $824 |
| AstraZeneca | 22 | $542 |
| Novartis | 16 | $371 |
| Fresenius USA Marketing, Inc. | 18 | $364 |
| Mallinckrodt Hospital Products Inc. | 10 | $280 |
| OPKO Pharmaceuticals, LLC | 14 | $224 |
| Bayer | 12 | $206 |
| Otsuka America Pharmaceutical, Inc. | 7 | $172 |
| Vantive US Healthcare LLC | 1 | $121 |
| Calliditas Therapeutics US Inc. | 4 | $84 |
| GSK | 1 | $73 |
| Ardelyx, Inc. | 3 | $69 |
| Shield Therapeutics Inc | 3 | $45 |
| Aurinia Pharma U.S., Inc. | 2 | $32 |
| Sanofi | 1 | $29 |
| Ultragenyx Pharmaceutical Inc. | 1 | $24 |
| ANI Pharmaceuticals, Inc. | 1 | $20 |
| Lilly USA, LLC | 1 | $18 |
| Scpharmaceuticals Inc. | 1 | $16 |
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.
- Renal - PD$121
How this compares
$4,908 in reported general payments places this provider in the 90th percentile of 697 nurse practitioner providers in Arkansas.
Other nurse practitioner in Little Rock
- Iris KennedyLittle Rock$22K
- Julia PonderLittle Rock$21K
- Olivia CoxLittle Rock$14K
- Sarah AtkinsLittle Rock$12K
- Lauren ByersLittle Rock$8K
- Suzanne BroadwayLittle Rock$6K
- Natalie ByarsLittle Rock$6K
- Kristie CronkhiteLittle Rock$5K
- Danielle LeeperLittle Rock$4K
- Leigh JohnsonLittle Rock$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.