Melissa Marie Haun, AGNP-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.

• Skagit Valley Hospital Hospital · Mount Vernon, WA
• Cascade Valley Hospital Hospital · Arlington, WA
• Island Hospital Hospital · Anacortes, WA
• Whidbeyhealth Medical Center Hospital · Coupeville, WA

Colleagues at Public Hospital Dist No 1 Skagit

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 321 clinicians in the practice; 12 are shown here.

• Dr. Shelley Rene Brencick Higman, DO Family Medicine Physician · Mount Vernon, WA
• Jasleena K Grewal, ARNP Psychiatric/Mental Health Nurse Practitioner · Mount Vernon, WA
• Elizabeth A Hirshberg, PA-C Physician Assistant · Mount Vernon, WA
• Dr. Tiana Mieko Ibarra Yamamoto, DO Family Medicine Physician · Mount Vernon, WA
• Dr. Nassim R Karimi, MD Specialist · Mount Vernon, WA
• Evelina Kravchuk, PA-C Physician Assistant · Mount Vernon, WA
• Kimm I. Layland, PAC Physician Assistant · Sedro Woolley, WA
• Dr. Michael Armando Marchetti, MD Dermatology Physician · Mount Vernon, WA
• Stephen Frederick Mowery, MD Family Medicine Physician · Mount Vernon, WA
• Vidhu S. Paliwal, MD Cardiovascular Disease Physician · Mount Vernon, WA
• Bill Stahlberg, PA-C Surgical Physician Assistant · Mount Vernon, WA
• Landi M Tillis Nurse Practitioner · Seattle, WA

Other providers in Mount Vernon

• Skagit Clinical Consultants Inc

  Organization Gerontology Nurse Practitioner · NPI 1073719167

  208 S 14th St, Mount Vernon, WA 98274-4117 · (360) 424-2600