Vanessa Renay Lewis, MSN, WHNP-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.

• Erlanger Murphy Medical Center Hospital · Murphy, NC · listed as Murphy Medical Center

Colleagues at Appalachian Mountain Community Health Centers

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 34 clinicians in the practice; 12 are shown here.

• Dr. Ellores Elberta Brailey, MD Obstetrics & Gynecology Physician · Asheville, NC
• Kristiana Tweed Burrell, APRN, MSN, FNP-C Family Nurse Practitioner · Asheville, NC
• Jessica Nicole Cook, PA-C Physician Assistant · Asheville, NC
• Mrs. Ashley Nichole Crowder, AGNP Family Nurse Practitioner · Murphy, NC
• Michael Scott Dowling, MD Internal Medicine Physician · Murphy, NC
• Holly E. Ferris, PA-C Physician Assistant · Asheville, NC
• Carrie Virginia Hall Medical Physician Assistant · Asheville, NC
• Christina Gabriele Humbert, MS, PA-C Physician Assistant · Asheville, NC
• Dr. Jacob Singer, MD Family Medicine Physician · Asheville, NC
• MS. Michelle A Tenaglia, RN, CNM, ANP Registered Nurse · Charlotte, NC
• Destin Thomas, PMHNP Registered Nurse · Sylva, NC
• Mr. Robert Presley Williams Jr., ARNP Adult Health Nurse Practitioner · Winter Haven, FL