Rachael Hueftle, NP
Nurse Practitioner · Reno, NVNPI 1881857472
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 280 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 18 manufacturers, the largest accounting for just 20.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $4,658 and has fallen 94.2% since, to $270 in 2024. Among nurse practitioner clinicians in NV 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 280 payments — averaging $23.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$1K
- Sunovion Pharmaceuticals Inc.$1K
- Neurocrine Biosciences, Inc.$723
- AbbVie$611
- Otsuka America Pharmaceutical, Inc.$595
- Alkermes, Inc.$480
- plus $2K from 12 others
What the payments were for
- Food & beverage$6,669100%
- Education$30%
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 |
|---|---|---|
| Johnson & Johnson | 49 | $1,360 |
| Sunovion Pharmaceuticals Inc. | 57 | $1,156 |
| Neurocrine Biosciences, Inc. | 13 | $723 |
| AbbVie | 44 | $611 |
| Otsuka America Pharmaceutical, Inc. | 24 | $595 |
| Alkermes, Inc. | 13 | $480 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 12 | $356 |
| Supernus Pharmaceuticals, Inc. | 17 | $348 |
| Abbott | 7 | $256 |
| Eisai Inc. | 17 | $238 |
| Vanda Pharmaceuticals Inc. | 6 | $141 |
| Takeda Pharmaceuticals U.S.A., Inc. | 9 | $137 |
| Boston Scientific | 2 | $82 |
| Avanir Pharmaceuticals, Inc. | 4 | $69 |
| Teva Pharmaceuticals USA, Inc. | 3 | $66 |
| Lundbeck LLC | 1 | $21 |
| Bausch Health US, LLC | 1 | $20 |
| Adlon Therapeutics L.p. | 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$509
- LYBALVI$500
- ARISTADA$476
- ETERNA$136
- SPRAVATO$124
- CAPLYTA$119
- ARISTADA INITIO$119
- QELBREE$116
- REXULTI$110
- INVEGA TRINZA$107
How this compares
$6,672 in reported general payments places this provider in the 95th percentile of 933 nurse practitioner providers in Nevada.
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 |
|---|---|---|
| Pregabalin | 15 | $266 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $232 |
| Gabapentin | 36 | $204 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $162 |
| Methocarbamol | 17 | $161 |
| Methylprednisolone | 27 | $156 |
| Cyclobenzaprine Hcl | 14 | $91 |
| Tramadol Hcl | 20 | $60 |
Paid to pharmacies, not to this prescriber.
Other nurse practitioner in Reno
- Melissa DelamoraReno$20K
- Darian ThorpReno$18K
- Mary Beth MedinaReno$11K
- Kristen BowmanReno$10K
- Laura HayReno$8K
- Laura HarshReno$7K
- Mary HelmreichReno$7K
- Rhonda StrunkReno$7K
- Rhonda NavarroReno$7K
- Julie SimeoniReno$7K
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.