Rachel S Snapp, NP-BC

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.

• Mymichigan Medical Center Alpena Hospital · Alpena, MI
• Mymichigan Medical Center Clare Hospital · Clare, MI
• Mymichigan Medical Center Gladwin Hospital · Gladwin, MI
• Mymichigan Medical Center Midland Hospital · Midland, MI
• Saint Mary'S Standish Community Hospital Hospital · Standish, MI

Colleagues at Mymichigan Medical Center Midland

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 509 clinicians in the practice; 12 are shown here.

• Sarah Mae Fritz Acute Care Nurse Practitioner · Midland, MI
• Kym C Gohn, DO Obstetrics & Gynecology Physician · Midland, MI
• Kate Hartman, PA-C Physician Assistant · Grand Rapids, MI
• Samantha Howley-Anderson Clinical Social Worker · Midland, MI
• Debbie J Jensen, CRNA Certified Registered Nurse Anesthetist · Midland, MI
• Bosede Bamijoko Joshua, MD Family Medicine Physician · Midland, MI
• Melissa Kramer, NP Nurse Practitioner · Midland, MI
• Christina L Murphy, DO Gastroenterology Physician · Midland, MI
• Ashley Nardone, DO Neurology Physician · Midland, MI
• Scott Andrew Pittel Nurse Practitioner · Freeland, MI
• Shayna Sian, NP Family Nurse Practitioner · Midland, MI
• Anita Tekchandani, MD Urology Physician · Midland, MI

Other providers in Midland

• Leah M. Martin, NP

  Individual Gerontology Nurse Practitioner · NPI 1114479656

  4201 Campus Ridge Dr Ste 3500, Midland, MI 48640-6132 · (989) 794-5240