NPPES file of Aug 9, 2026

Kristel L. Howell, ARNP

Acute Care Nurse Practitioner · Des Moines, IA

Kristel L. Howell, ARNP is an acute care nurse practitioner with a practice address in Des Moines, Iowa, and NPI 1326344789, issued on Feb 2, 2011. Check the license (Iowa L103659, as entered in NPPES) with the Iowa board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1326344789
Name
Kristel L. Howell
Credential
ARNP
Primary taxonomy
Acute Care Nurse Practitioner 363LA2100X
License number
L103659 IA
Self-reported in NPPES; status is on the state search
Practice location
411 Laurel St Ste A300, Des Moines, IA 50314
Phone
(515) 282-2921
Enumerated
Feb 2, 2011
Record last updated
May 11, 2026
Fax
(515) 643-8819
Medicare enrollment
Enrolled (PECOS I20110310001081); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 411 Laurel St Ste A300

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kelsey Bieghler, ARNPFamily Nurse Practitioner1427690387
  2. Kristi Bogseth, ARNPAdult Health Nurse Practitioner1588905228
  3. Tristan Boss, ARNPAcute Care Nurse Practitioner1780468959
  4. Sydney Brehany, MDMedical Oncology Physician1821529363
  5. Cassidy Brown, ARNPNurse Practitioner1609533264
  6. Emily Brugioni, DOMedical Oncology Physician1790136182

Verify Kristel L. Howell in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Iowa board licenses this profession
    Search for license L103659
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Iowa license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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25% more Medicare Part D claims than the average acute care nurse practitioner in 2024

745 Medicare Part D claims for 209 beneficiaries, against an average of 594 among the 13,133 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims. 63 claims were for opioids.

  1. Kristel Howell745
  2. Specialty average594

Most prescribed

  1. Letrozole89 claims
  2. Anastrozole87 claims
  3. Acyclovir77 claims
  4. Eliquis28 claims
  5. Tamoxifen Citrate28 claims
  6. Sulfamethoxazole-Trimethoprim27 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $1,232.75

4 payments; by number, the most common kind was consulting fee; the largest payer was BeiGene USA, Inc. The 10,984 providers of this specialty with any payment received $647.94 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kristel Howell$1,232.75
  2. Specialty average$647.94

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. State University OF IowaDes Moines, IA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kristel L. Howell among 172 acute care nurse practitioner records in Iowa

Kristel L. Howell, ARNP is one of 172 acute care nurse practitioner records with a practice address in Iowa. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 13% of them.

  • NPI issued2011 · 13% of these records are older, 78% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 79% of these records are
  • Graduated2010 · median 2019 among the 136 with a school on file
  • Record last updated2026 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2100X and a Iowa practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Acute Care Nurse Practitioner providers in Iowa

There are 172 acute care nurse practitioner records in Iowa.

The 8 acute care nurse practitioner records with the nearest ZIP codes

  1. Caleb Anderson, AGACNP-BCDes Moines, IA 503141902218324
  2. Elizabeth Biggerstaff, ARNPDes Moines, IA 503141013681881
  3. Beth Borden, ARNPDes Moines, IA 503141912208703
  4. Tristan Boss, ARNPDes Moines, IA 503141780468959
  5. Danielle Brodersen, NPDes Moines, IA 503141407250830
  6. Robbin Glass, ARNPDes Moines, IA 503141114279197
  7. Melissa Jacoby, ARNPDes Moines, IA 503141194027144
  8. Jonna Lox, ARNP, CNPDes Moines, IA 503141487251260

Common questions

What is Kristel L. Howell, ARNP's NPI number?

Kristel L. Howell, ARNP's National Provider Identifier (NPI) is 1326344789, issued on Feb 2, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Kristel L. Howell, ARNP located?

The NPPES record lists a practice address at 411 Laurel St Ste A300, Des Moines, IA, 50314. Phone: (515) 282-2921. Providers update this record themselves, so call before visiting.

How can I verify Kristel L. Howell, ARNP's license?

NPPES lists Iowa license number L103659, as entered by the provider. Search the Iowa board that licenses this profession; the NPPES record confirms identity only.

How much does Kristel L. Howell, ARNP prescribe under Medicare Part D?

In 2024, Kristel L. Howell, ARNP had 745 Medicare Part D claims for 209 beneficiaries; the average among acute care nurse practitioner prescribers was 594. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.