Christine D. Howard, APN
NPI 1326346123ActiveIndividual· Nurse Practitioner, Family· St. Joseph, MO
Nurse Practitioner, Family (APN) with Heartland Regional Medical Center, practicing in St. Joseph, Missouri. Their prescriptions cost Medicare Part D more than their services did: $255,206 for 3,715 claims, against $33,760 paid for services in 2024. Madrigal Pharmaceuticals was the largest of 4 companies reporting payments in 2025, $524.87 in all, mostly food and beverage. Lists Mosaic Life Care at St Joseph and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1326346123 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APN |
| Sole proprietor | No |
| NPI issued | Mar 3, 2011 |
| Last updated in NPPES | Nov 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2010016466 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 155 |
|---|---|
| Services billed | 688 across 16 procedure codes |
| Paid by Medicare | $33,760 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,715 · 8,165 30-day fills |
|---|---|
| Patients | 223 |
| Total drug cost | $255,206 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Heartland Regional Medical CenterSt Joseph, MO · 394 clinicians
Hospital affiliations
- Mosaic Life Care at St JosephSaint Joseph, MO
- Mosaic Medical Center - MaryvilleMaryville, MO
- Mosaic Medical Center AlbanyAlbany, MO
Other facilities
- Freudenthal Home HealthHome health agency · Saint Joseph, MO
- Mosaic Life Care Home HealthHome health agency · Saint Joseph, MO
Industry payments (Open Payments)
- 2025$524.87 · 5 payments from 4 companies
- 2024$501.28 · 5 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Madrigal Pharmaceuticals | $261.33 | 2 |
| Exact Sciences Corporation | $123.73 | 1 |
| Abbvie Inc. | $121.60 | 1 |
| Amgen Inc. | $18.21 | 1 |
What the 2025 payments were for
- Food and Beverage$524.87 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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