Individual provider Active NPI

Nicole Howell, PA-C

  • Physician Assistant
  • San Marcos, TX
National Provider Identifier
1790099547
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 05907 Issued in TX
Practice address
1920 Corporate Dr Ste 208
San Marcos, TX 78666-6286
Phone
(512) 878-6330
Fax
(870) 878-6941
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 05907 TX Primary

Addresses

Primary practice location

1920 Corporate Dr Ste 208
San Marcos, TX 78666-6286

Mailing address

1920 Corporate Dr Ste 208
San Marcos, TX 78666-6286
Phone (512) 878-6330

Other practice location 1

401 Broadway St Ste A
San Marcos, TX 78666-7771
Phone (512) 805-5650

Other practice location 2

201 Fm 3237 Ste 111
Wimberley, TX 78676-2119
Phone (512) 847-3434

Other practice location 3

1320 Wonder World Dr Ste 101
San Marcos, TX 78666-7558
Phone (512) 396-3911

Other practice location 4

201 Fm 3237 Ste 111
Wimberley, TX 78676-2119
Phone (512) 847-3434

Other practice location 5

2430 S Ih 35
San Marcos, TX 78666-5906
Phone (512) 878-6946

Other identifiers 3

IdentifierTypeStateIssuer
370968503MedicaidTX
679419OtherMEDICARE
P02144922OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000538 TX Practitioner - Physician Assistant 5395939516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1430 N Ih
San Marcos, TX 78666-1495
Phone (512) 353-6475

201 FM
Wimberley, TX 78676-2119

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 05907TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton CurrentSince Jan 1, 2010 Accepting new patients
Ascension Seton CurrentSince Jan 1, 2010 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Apr 14, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2021 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Apr 14, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2021 Accepting new patients

Locations

130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

14625 Huebner Rd
San Antonio, TX 78230

1340 Wonder World Dr
Ste 4301
San Marcos, TX 78666
Phone (512) 353-6400

401 Broadway St
Ste A
San Marcos, TX 78666
Phone (512) 393-5520

2430 S Ih 35
San Marcos, TX 78666
Phone (512) 878-6946

1920 Corporate Dr
Ste 208
San Marcos, TX 78666
Phone (512) 396-3911

1320 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 392-1700

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

201 FM 3237
Ste 111
Wimberley, TX 78676
Phone (512) 847-3434

201 FM 3237
Ste 121
Wimberley, TX 78676
Phone (512) 353-6400

203 Stillwater
Ste 6
Wimberley, TX 78676
Phone (512) 268-8900

Interoperability endpoints

  • Direct secure messaging: nnuckols261039@christushealth.direct-ci.net
  • Direct secure messaging: nicole.howell@commsa.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1790099547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CORPORATE DR STE 208",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666286",
            "telephone_number": "512-878-6330",
            "fax_number": "512-878-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CORPORATE DR STE 208",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666286",
            "telephone_number": "512-878-6330",
            "fax_number": "870-878-6941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Broadway St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667771",
            "country_code": "US",
            "telephone_number": "512-805-5650",
            "fax_number": "512-392-4718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Fm 3237 Ste 111",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "786762119",
            "country_code": "US",
            "telephone_number": "512-847-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Wonder World Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667558",
            "country_code": "US",
            "telephone_number": "512-396-3911",
            "fax_number": "512-353-0807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Fm 3237 Ste 111",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "786762119",
            "country_code": "US",
            "telephone_number": "512-847-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2430 S Ih 35",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786665906",
            "country_code": "US",
            "telephone_number": "512-878-6946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 05907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370968503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "679419",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P02144922",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.