Esmeralda Lorna Howard, C-N.P.
NPI 1144428558ActiveIndividual· Nurse Practitioner· Fort Worth, TX
Nurse Practitioner (C-N.P.) with Healthtexas Provider Network, practicing in Fort Worth, Texas. Their prescriptions cost Medicare Part D more than their services did: $459,859 for 541 claims, against $30,144 paid for services in 2024. Gilead Sciences, Inc. was the largest of 12 companies reporting payments in 2025, $1,537 in all, mostly food and beverage.
Overview
| NPI | 1144428558 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | C-N.P. |
| Sole proprietor | No |
| NPI issued | Jul 6, 2007 |
| Last updated in NPPES | Apr 1, 2022 |
| Certified by provider | Apr 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP125746 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 86 |
|---|---|
| Services billed | 572 across 17 procedure codes |
| Paid by Medicare | $30,144 |
Part D prescriptions in 2024
| Prescriptions (claims) | 541 · 937 30-day fills |
|---|---|
| Patients | 99 |
| Total drug cost | $459,859 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Healthtexas Provider NetworkWaxahachie, TX · 2,697 clinicians
Industry payments (Open Payments)
- 2025$1,537 · 63 payments from 12 companies
- 2024$794.80 · 32 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Gilead Sciences, Inc. | $393.34 | 15 |
| Ipsen Biopharmaceuticals, Inc | $327.74 | 10 |
| Abbvie Inc. | $213.51 | 10 |
| Madrigal Pharmaceuticals | $195.17 | 8 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $138.05 | 7 |
What the 2025 payments were for
- Food and Beverage$1,537 · 63 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 160 nurse practitioners in Fort Worth · All nurse practitioners in Texas