Ashley Ambrosek, FNP-BC, FNP-C

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

• Community Hospital Hospital · McCook, NE · listed as Community Hospital Association
• Dundy County Hospital Hospital · Benkelman, NE
• Tri Valley Health System Hospital · Cambridge, NE

Colleagues at Cambridge Memorial Hospital Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 27 clinicians in the practice; 12 are shown here.

• Mrs. Nicole Buettner, PA-C Physician Assistant · Kearney, NE
• Udo G Foreman, PA-C Physician Assistant · Grand Rapids, MI
• Jennifer Anne Gros, PA-C Medical Physician Assistant · Woodland Hills, CA
• Dr. Shiuvaun M. Jaeger, MD Family Medicine Physician · Cambridge, NE
• Rachelle A Kaspar-Cope, MD Family Medicine Physician · Cambridge, NE
• Kyleen Klinkebiel, PA Physician Assistant · Cambridge, NE
• Karinne Kulwicki, PA Physician Assistant · Cambridge, NE
• J Paul Meyer, MD Pain Medicine (Anesthesiology) Physician · Grand Island, NE
• Faraaz Ali Osmani, MD Internal Medicine Physician · Encino, CA
• Ryan Hillman Reynolds, NP Nurse Practitioner · Live Oak, FL
• Andrea Rice Family Medicine Physician · Cambridge, NE
• Chris E Wilkinson, MD Orthopaedic Surgery Physician · Kearney, NE

Other providers in Cambridge

• Candice Jo Haddon, APRN

  Individual Nurse Practitioner · NPI 1174044036

  1305 Highway 6 34, Cambridge, NE 69022-6616 · (308) 697-3329