Pamela Schell Werschler
Nurse Practitioner · Spokane, WANPI 1578691028
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,717 of the $7,369 with a category attached, or 77.6%. 18 manufacturers reported payments, led by AbbVie at 41.2% of the total. Reporting peaked in 2023 at $2,892 and has fallen 54.9% since, to $1,306 in 2025. Among nurse practitioner clinicians in WA 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 302 payments — averaging $24.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Merz North America, Inc.$2K
- Lilly USA, LLC$557
- Johnson & Johnson$360
- UCB, Inc.$323
- Regeneron Healthcare Solutions, Inc.$192
- plus $804 from 12 others
What the payments were for
- Consulting fees$1,65222%
- Food & beverage$5,71778%
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) | 176 | $3,037 |
| Merz North America, Inc. | 13 | $2,096 |
| Lilly USA, LLC | 26 | $557 |
| Johnson & Johnson | 20 | $360 |
| UCB, Inc. | 25 | $323 |
| Regeneron Healthcare Solutions, Inc. | 8 | $192 |
| Amgen | 7 | $188 |
| Biofrontera Inc. | 6 | $131 |
| LEO Pharma Inc. | 4 | $111 |
| Galderma Laboratories, L.p. | 5 | $91 |
| Boehringer Ingelheim | 1 | $68 |
| Incyte Corporation | 3 | $67 |
| Sun Pharmaceutical Industries Inc. | 3 | $51 |
| Blueprint Medicines Corporation | 1 | $27 |
| Genentech USA, Inc. | 1 | $21 |
| Organon | 1 | $19 |
| Arcutis Biotherapeutics, Inc. | 1 | $14 |
| Sanofi | 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
$7,369 in reported general payments places this provider in the 95th percentile of 2,466 nurse practitioner providers in Washington.
Other nurse practitioner in Spokane
- Nancy WickreSpokane$15K
- Jamelynn MarkSpokane$14K
- Mackenzi HeatonSpokane$12K
- Susan CainSpokane$8K
- Nelbie Anne DuranSpokane$6K
- Natalya WolterSpokane$5K
- Annalee WilsonSpokane$5K
- Jeanette DresselSpokane$5K
- Susan FrankovichSpokane$5K
- Suzanne AndersSpokane$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.