Ann Renee Manuel
NPI 1225514524ActiveIndividual· Nurse Practitioner, Family· Shenandoah, TX
Nurse Practitioner, Family with Tmh Physician Associates PLLC and 1 other group, practicing in Shenandoah, Texas. Their prescriptions cost Medicare Part D more than their services did: $336,307 for 1,672 claims, against $58,872 paid for services in 2024. Medtronic, Inc. was the largest of 19 companies reporting payments in 2025, $1,891 in all, mostly food and beverage. Lists Houston Methodist the Woodlands Hospital as a hospital affiliation.
Overview
| NPI | 1225514524 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 19, 2018 |
| Last updated in NPPES | Apr 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP138637 | TX |
| Nurse Practitioner, Primary Care | 363LP2300X | F07181167 | 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 | 596 |
|---|---|
| Services billed | 881 across 13 procedure codes |
| Paid by Medicare | $58,872 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,672 · 4,103 30-day fills |
|---|---|
| Patients | 449 |
| Total drug cost | $336,307 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Tmh Physician Associates PLLCKaty, TX · 1,690 clinicians
- Houston Methodist Specialty PhysiciansHouston, TX · 1,528 clinicians
Hospital affiliation
- Houston Methodist the Woodlands HospitalThe Woodlands, TX
Industry payments (Open Payments)
- 2025$1,891 · 70 payments from 19 companies
- 2024$2,328 · 76 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $325.31 | 6 |
| Novartis Pharmaceuticals Corporation | $296.16 | 19 |
| Abbott Laboratories | $283.14 | 5 |
| Boston Scientific Corporation | $207.66 | 10 |
| Amgen Inc. | $161.15 | 6 |
What the 2025 payments were for
- Food and Beverage$1,891 · 70 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 73 family nurse practitioners in Shenandoah · All family nurse practitioners in Texas