KRISTEL L HOWELL ARNP
NPI 1326344789
Nurse Practitioner - Acute Care in Des Moines, IA

Q: What is Kristel Howell's NPI number?

The NPI number for Kristel Howell is 1326344789. It was assigned to this individual provider in the NPPES registry on February 2, 2011. The provider is also known as Kristel L Sien Knecht.

Q: What is Kristel Howell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kristel Howell was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2011PECOS EnrolledAccepts Medicare Assignment

411 LAUREL ST STE A300, DES MOINES, IA 50314(515) 282-2921(515) 643-8819 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, Nov 18, 2025, Jul 2, 2025 and 4 more (7 updates tracked since 2016).

On this page

About Kristel L Howell Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEL L HOWELL ARNP (NPI 1326344789) is an individual acute care provider in Des Moines, Iowa, licensed in Iowa (L103659) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1326344789

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKRISTEL L HOWELLCredential: ARNP

Location Address411 LAUREL ST STE A300Des Moines, IA 50314-3030

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (515) 282-2921 · Fax (515) 643-8819

Phone(515) 282-2921

Fax(515) 643-8819

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateFebruary 2, 2011

Last NPPES UpdateMay 11, 20267 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1326344789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IA · L103659

411 LAUREL ST STE A300, Des Moines, IA 50314

Open in Google Maps ↗

Other Names 1

Former Name (1)Kristel L Sien Knecht

Secondary Practice Locations 6

Location 11 Saint Joseph DrCenterville, IA 52544-9017 · Phone (515) 282-2921 · Fax (515) 643-8819

Location 2404 Jefferson StPella, IA 50219-1257 · Phone (641) 628-3832 · Fax (641) 682-2764

Location 3110 E Court Ave Ste 200Des Moines, IA 50309-2044 · Phone (515) 282-2921 · Fax (515) 282-1035

Location 412495 University Ave Ste 200Clive, IA 50325-8290 · Phone (515) 282-2921 · Fax (515) 643-8819

Location 5204 N 4th Ave E Ste 131Newton, IA 50208-3135 · Phone (641) 787-5444 · Fax (641) 787-3038

Location 61950 SW Magazine RdAnkeny, IA 50023-2977 · Phone (515) 282-2921 · Fax (515) 643-8819

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristel L Howell Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850573981

PECOS Enrollment IDI20110310001081

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

335 services135 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

269 services125 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

254 services121 patients

Gammaglobulin (immune system protein) measurement 82784

Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.

168 services40 patients

Phosphate level 84100

A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.

96 services67 patients

Lactate dehydrogenase (enzyme) level 83615

A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.

86 services63 patients

Uric acid level, blood 84550

A blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.

85 services61 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

74 services54 patients

Folic acid level, serum 82746

A Folic Acid Level, Serum test measures the amount of folic acid, a type of B vitamin, in your blood. This vitamin is important for cell growth and development. It's crucial for your body to function well. If your levels are low, it may indicate a deficiency, which can lead to health issues.

74 services54 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

72 services51 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

69 services48 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

69 services48 patients

Magnesium level 83735

A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.

49 services24 patients

Red blood count automated, with additional calculations 85046

An automated red blood cell count is a laboratory test that counts the number of red blood cells in your blood. This test also includes additional calculations to measure the size, volume, and hemoglobin concentration of these cells. It helps to identify any abnormalities in your blood.

41 services33 patients

Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 86300

This is a blood test that measures the level of CA 15-3, a protein often higher in individuals with certain types of cancer. It helps monitor response to treatment and check for cancer recurrence. It's not a standalone diagnostic test but used alongside other evaluations.

27 services16 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

27 services13 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

26 services17 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

25 services17 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

20 services13 patients

Carcinoembryonic antigen (cea) protein level 82378

Carcinoembryonic Antigen (CEA) protein level is a blood test often used in cancer care. It measures the amount of CEA protein in your blood, which can increase in cases of certain types of cancer. It's used to monitor treatment progress and check for cancer recurrence.

18 services11 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160016

Location802 Kenyon RdFort Dodge, IA 50501 · Webster County

Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number160058

Location200 Hawkins DriveIowa City, IA 52242 · Johnson County

Emergency services Birthing friendly

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Pella Regional Health Center

Critical Access Hospitals · Pella, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number161367

Location404 Jefferson StreetPella, IA 50219 · Marion County

Emergency services Birthing friendly

Mercyone Centerville Medical Center

Critical Access Hospitals · Centerville, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161377

LocationOne St Joseph's DriveCenterville, IA 52544 · Appanoose County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA MAKSUTOSKI ARNP, FNP-C

Nurse Practitioner (Family)