MS. Juanita Daisy Alvarez-Hall, MSN, FNP-C

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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.

• Bryan Medical Center Hospital · Lincoln, NE
• Chi Health Mercy Council Bluffs Hospital · Council Bluffs, IA
• Chi Health Missouri Valley Hospital · Missouri Valley, IA

Colleagues at Nebraska Emergency Medicine PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 31 clinicians in the practice; 12 are shown here.

• Dr. Noah Bernhardson, MD Emergency Medicine Physician · Saint Louis, MO
• Mr. Richard Wayne Brunmeier Nurse Practitioner · Lincoln, NE
• Christopher M Christensen, MD Emergency Medicine Physician · Lincoln, NE
• Frank T Coughlin, MD Emergency Medicine Physician · Lincoln, NE
• Dr. Maureen Megan D'Angelo, MD Emergency Medicine Physician · Omaha, NE
• John W Hansen, MD Emergency Medicine Physician · Lincoln, NE
• Andrew Ronald Klutman Emergency Medicine Physician · Thornton, CO
• James Patrick Lesiak, PA-C Physician Assistant · Lincoln, NE
• Tracy Mak Emergency Medicine Physician · Houston, TX
• Jay R Meyer, MD Emergency Medicine Physician · Lincoln, NE
• Ryan Mikus, MD Student in an Organized Health Care Education/Training Program · Omaha, NE
• Dr. Joshua Paul Miller Sr., MD Student in an Organized Health Care Education/Training Program · Lincoln, NE

Other providers in Council Bluffs

• Kahla Noelle Anderson, DNP, FNP, ARNP

  Individual Registered Nurse · NPI 1992105092

  1702 N 16th St, Council Bluffs, IA 51501-0121 · (712) 227-4441

• MS. Lynne Marie Carroll, RN, BSN, MSN

  Individual Registered Nurse · NPI 1063037620

  1750 W Broadway, Council Bluffs, IA 51501-3814 · (712) 215-6588

• Mrs. Donella Raye Chadwick-Kermeen, APRN

  Individual Registered Nurse · NPI 1164089025

  3424 W Broadway, Council Bluffs, IA 51501-3211 · (712) 796-3481

• Karoweso Margaret Chipendo, APRN

  Individual Registered Nurse · NPI 1881095503

  902 S 6th St, Council Bluffs, IA 51501-6441 · (712) 325-1990