Nichole L. Howe, CNM
NPI 1790021160ActiveIndividual· Advanced Practice Midwife· Joplin, MO
Advanced Practice Midwife (CNM) with Freeman-Oak Hill Health System and 1 other group, practicing in Joplin, Missouri. Their prescriptions cost Medicare Part D more than their services did: $3,032 for 150 claims, against $666.15 paid for services in 2024. Astellas Pharma US Inc was the largest of 2 companies reporting payments in 2025, $34.53 in all, mostly food and beverage. Lists Freeman Health System - Freeman West as a hospital affiliation.
Overview
| NPI | 1790021160 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNM |
| Sole proprietor | No |
| NPI issued | Dec 12, 2012 |
| Last updated in NPPES | Jun 17, 2025 |
| Certified by provider | Jun 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | 2012038471 | MO |
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 - Certified Nurse Midwife (Cnm) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 16 across 5 procedure codes |
| Paid by Medicare | $666.15 |
Part D prescriptions in 2024
| Prescriptions (claims) | 150 · 241 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $3,032 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Certified Nurse Midwife (Cnm) |
Medical groups
- Freeman-Oak Hill Health SystemJoplin, MO · 394 clinicians
- Freeman Neosho HospitalNeosho, MO · 43 clinicians
Hospital affiliation
- Freeman Health System - Freeman WestJoplin, MO
Industry payments (Open Payments)
- 2025$34.53 · 2 payments from 2 companies
- 2024$199.17 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astellas Pharma US Inc | $27.34 | 1 |
| Organon LLC | $7.19 | 1 |
What the 2025 payments were for
- Food and Beverage$34.53 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Advanced Practice Midwife providers in Joplin
- 1396472007
- 1316738677
- 1356957682