Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nancy Lu Howe, ARNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1346298221

Nancy Lu Howe, ARNP is a Nurse Practitioner in Spencer, Iowa. Qualified in 2005, 21 years ago. Practices with Mercy Medical Center, a 303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa.

Years since qualifying
21
Licensed in
IA
In the registry since
2006
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

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Practice location Address checks out

201 E 11th St
Spencer, IA 51301-4436 Not confirmed with CMS for 18 years — call before visiting
Phone: (712) 262-2922
Fax: (712) 262-3826
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence G-065214 (IA)

Record details

NPI number1346298221
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESNovember 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mercy Medical Center — 303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients71
Services billed 202 a service is one billed item, such as a visit, a test or a procedure
Average patient age64

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $92 5 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Mercy Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 303 clinicians in the practice; 12 are shown here.

Other providers in Spencer