Kristel L. Howell, ARNP
NPI 1326344789ActiveIndividual· Nurse Practitioner, Acute Care· Des Moines, IA
Nurse Practitioner, Acute Care (ARNP) with State University of Iowa and 2 other groups, practicing in Des Moines, Iowa. Their prescriptions cost Medicare Part D more than their services did: $1,282,859 for 745 claims, against $214,925 paid for services in 2024. Abbvie Inc. was the largest of 10 companies reporting payments in 2025, $1,302 in all, mostly food and beverage. Lists Clarke County Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1326344789 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Feb 2, 2011 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | L103659 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 176 |
|---|---|
| Services billed | 11,729 across 83 procedure codes |
| Paid by Medicare | $214,925 |
Part D prescriptions in 2024
| Prescriptions (claims) | 745 · 1,126 30-day fills |
|---|---|
| Patients | 209 |
| Total drug cost | $1,282,859 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- State University of IowaCoralville, IA · 1,897 clinicians
- Catholic Health Initiatives-Iowa CorpAmes, IA · 113 clinicians
- Clarke County Public HospitalOsceola, IA · 43 clinicians
Hospital affiliations
- Clarke County HospitalOsceola, IA
- Mercyone Des Moines Medical CenterDes Moines, IA
- Pella Regional Health CenterPella, IA
- Trinity Regional Medical CenterFort Dodge, IA
- University of Iowa Hospital & ClinicsIowa City, IA
Industry payments (Open Payments)
- 2025$1,302 · 13 payments from 10 companies
- 2024$1,233 · 4 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $324.36 | 3 |
| Deciphera Pharmaceuticals Inc. | $160.50 | 1 |
| Genentech, Inc. | $121.74 | 2 |
| E.R. Squibb & Sons, L.L.C. | $110.61 | 1 |
| Astrazeneca Pharmaceuticals LP | $109.21 | 1 |
What the 2025 payments were for
- Food and Beverage$1,302 · 13 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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