Julie M. Howard, D.C., A.P.R.N.
NPI 1679549687ActiveIndividual· Nurse Practitioner, Family· Plattsmouth, NE
Nurse Practitioner, Family (D.C., A.P.R.N.) in Plattsmouth, Nebraska, trained at Palmer College Chiropractic - West Sunnyvale (class of 2004). Their prescriptions cost Medicare Part D more than their services did: $116,195 for 1,454 claims, against $23,770 paid for services in 2024. Abbvie Inc. was the largest of 3 companies reporting payments in 2025, $235.92 in all, mostly food and beverage.
Overview
| NPI | 1679549687 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C., A.P.R.N. |
| Sole proprietor | No |
| NPI issued | Feb 28, 2006 |
| Last updated in NPPES | Feb 6, 2023 |
| Certified by provider | Mar 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 111219 | NE |
| Chiropractor | 111N00000X | 1365 | NE |
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 - Chiropractic (NE); Practitioner - Nurse Practitioner (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 937 across 43 procedure codes |
| Paid by Medicare | $23,770 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,454 · 2,843 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $116,195 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Palmer College Chiropractic - West Sunnyvale |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Nurse Practitioner |
Hospital affiliation
- Bellevue Medical CenterBellevue, NE
Industry payments (Open Payments)
- 2025$235.92 · 18 payments from 3 companies
- 2024$312.75 · 27 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $205.31 | 16 |
| Teva Pharmaceuticals USA, Inc. | $16.36 | 1 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $14.25 | 1 |
What the 2025 payments were for
- Food and Beverage$235.92 · 18 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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