Sherri Shaw, PMHNP-BC

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.

Colleagues at Community Action Partnership of Western Nebraska

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 18 clinicians in the practice; 12 are shown here.

• Janel Barajas, APRN Psychiatric/Mental Health Nurse Practitioner · Gering, NE
• John Carrington, PA-C Medical Physician Assistant · Gering, NE
• Christine Ann Dawson, LICSW, LIMHP Clinical Social Worker · Omaha, NE
• Stephanie Decowski, LMHP Mental Health Counselor · Scottsbluff, NE
• Mr. Jaimie C Dirks, PMHNP-BC, FNP-C Family Nurse Practitioner · Loveland, CO
• Carissa Lynn Elliott, LMHP Mental Health Counselor · Chadron, NE
• Stormy Filson, LPC Counselor · Riverton, WY
• Tawni Lynn Howard, APRN-NP Family Nurse Practitioner · Lincoln, NE
• Lisa Marie Osthoff, MA, LPC, LIMHP Professional Counselor · Gering, NE
• MS. Danielle Lynn Rose, NP-C Family Nurse Practitioner · Fort Collins, CO
• Katherine Grace Tuttle, APRN Family Nurse Practitioner · Gering, NE
• Mrs. Brooke Arleen Vance, APRN-NP Family Nurse Practitioner · Gering, NE

Other providers in Gering

• Janel Barajas, APRN

  Individual Psychiatric/Mental Health Nurse Practitioner · NPI 1487814521

  Community Action Health Center 3305 10th St, Gering, NE 69341 · (308) 633-5766