Nicole Howell, PA-C
NPI 1790099547ActiveIndividual· Physician Assistant· San Marcos, TX
Physician Assistant (PA-C) with Christus Trinity Clinic Texas, practicing in San Marcos, Texas. 99 Medicare patients in 2024, $6,866 paid; nearly all of their 149 Part D prescriptions were generic (91%). Collegium Pharmaceutical, Inc. reported $38.60 in payments in 2025, mostly food and beverage. Lists Christus Santa Rosa Hospital-San Marcos as a hospital affiliation.
Overview
| NPI | 1790099547 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 4, 2010 |
| Last updated in NPPES | Aug 26, 2024 |
| Certified by provider | Aug 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA 05907 | 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 - Physician Assistant (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 269 across 13 procedure codes |
| Paid by Medicare | $6,866 |
Part D prescriptions in 2024
| Prescriptions (claims) | 149 · 154 30-day fills |
|---|---|
| Patients | 106 |
| Total drug cost | $4,044 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Christus Trinity Clinic TexasTyler, TX · 1,540 clinicians
Hospital affiliation
- Christus Santa Rosa Hospital-San MarcosSan Marcos, TX
Industry payments (Open Payments)
- 2025$38.60 · 2 payments from 1 company
- 2024$19.63 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Collegium Pharmaceutical, Inc. | $38.60 | 2 |
What the 2025 payments were for
- Food and Beverage$38.60 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in San Marcos
- 1679125546
- 1932659257
- 1780791392
- 1013569284
- 1083808968
- 1710457940
- 1780631119
- 1972161529
- 1073746632
- 1154621951
- 1376655829
- 1730034083
All 15 physician assistants in San Marcos · All physician assistants in Texas