Dr. Nicole Hoff, DMS, PA-C, Physician Associate

Dr. Nicole Hoff, DMS, PA-C, Physician Associate Unapologetically changing how healthcare is done. Your health is in your hands. I am here to help. She has lived in Spring with her family since Aug. 2017.
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Nicole Hoff is Board Certified Physician Assistant (PA) and a graduate of the Yale University School of Medicine’s PA Program. When deciding what kind of PA, she wanted to be she said: "I really want to do something “family friendly” so my kiddos can stop sharing their mom so much. But I also want to be able to pray for my patients, and WITH my patients. I don’t want insurance to dictate the care

I give, and I want the services my patients receive to be affordable. I want to prescribe lavender oil, exercise, and sunshine—just as much as I do metformin, ibuprofen, and prozac. And I want to be respected by coallegues if I say to a patient: 'your healthcare decisions are yours,' 'God is the great physician,' or 'just put breastmilk on it!' "

Before becoming a PA, Nicole graduated with a Bachelor of Arts in Maternal and Child Health specializing in lactation. For over 15 years, she empowered families as a midwife assistant, doula, childbirth educator, and International Board Certified Lactation Consultant. Later while serving as a hospital chaplain, Nicole discovered a passion for helping others who do not know where to begin — families bringing a first child into the world, suffering a loss, or who have no access to care. Driven by her desire to integrate compassionate mental health care intuitively into pediatrics and primary care, Nicole aims to provide affordable, accessible mental healthcare and primary care. And of course, she can’t wait to get back to doing well woman and lactation care visits as well! Nicole is also excited to complete her Doctorate of Medical Science in December through Shenandoah University. Her doctoral project is to find a way to incorporate Adverse Childhood Experiences (ACEs) screening into primary care as a standard of care. In her free time, she enjoys spending time with her husband and 4 children (ages 20, 17, 12, 10) in the North Houston TX area or in serving her hometown community of the Rio Grande Valley. The Hoff family has a motto “Know Him and make Him known.” They attend Declaration Church in Spring, TX. At Rife Pediatrics & Family Care, Nicole provides Primary Care for adults and children, Mental Healthcare and Women’s Care. You can ccontact her / schedule an appointment or ask questions: 832-843-8246

Big box pharmacies telling my patients “we didn’t get the prescription fax” got me like ….
04/16/2024

Big box pharmacies telling my patients “we didn’t get the prescription fax” got me like ….

04/10/2024

My 2024 eclipse moment… and checkin‘ in on everyone! Fighting these weird cyclic fevers 🤒 (with hardly any other symptoms) that later turns into strep… that no one is talking about? Yup, seeing lots of that & I am sending in orders for lots of things to help to Magnolia Pharmacy that ships compounded meds for free to your door with amazing customer service. Please don’t hesitate to reach out. Taking new patients if it’s quick sick visits & you need the support because you cant get the good stuff elsewhere. Only $75 Telehealth with an Rx & recommend supplements with research based care plan. Text me: 832-843-8246

📣 My patient panel is just about FULL! I will be taking my LAST few patient sign-ups for 2024 by the end of the month of...
03/15/2024

📣 My patient panel is just about FULL! I will be taking my LAST few patient sign-ups for 2024 by the end of the month of March.

This means…. if you have wanted to become a patient… you MUST DO SO by FRIDAY 5pm on 3/29.

I am only taking about 3 more families, 5 more couples & about 7 more individuals— so please don’t hesitate to message me or email me at [email protected] so I can send you instructions on how to sign up. (I do have some reserved spots for Holistic Living members, Homebirth, Birth Center & Homeschool families, so please specify when you message me).

As a direct primary care provider who gives out my personal clinic cell phone number for my patients to be able to access me 24/7, I have to limit my patient load.

It’s not because I don’t want to help all.the.people
…. it’s because I want to!

And I realize I don’t have the time to take more patients on & still give my subscribers my 💯 % attention.

All new patients will be required to be “subscribing members” which means paying a monthly fee for 24/7 telehealth care inbetween our in person visits.

Families with kids must sign up the entire family unit.

Couples without kids must sign up together as a couple.

Why ? Because when my patients have my cell phone number, they tend to text me about everyone in their family and not only themselves. Plus it is just good medicine to take care of a family unit.

As a reminder of my upfront fees:

$150 to sign-up as a couple
$150 to sign-up up to 3 kids
$150 for individuals to sign-up
This includes your first 1 hour visits.

Monthly subscription fees :

$50 1st adult
$45 2nd adult
$65 up to 3 kids in home
$50 for the extra kiddos

(I will give discounts for large families, families in ministry, & I barter !)

One off visits for non-subscribers/non-member who just need me briefly will be:

$75 telehealth for sick visits
$25 sports/work/school physicals
$200 annual exam
$50 paper work (exemptions, accommodation letters, referrals etc). 

Nope I don’t take insurance. But annual labs are only about $45 & I work hard to find the best price for your meds. so ya can’t beat this.

Yes, I’ll have a waiting list … send me a message to add your names !

Want to jump on it right now :

Follow this link & fill out the form for each family member you want to become a patient :

https://rifepediatrics.atlas.md/enrollment/index.html?account=4MeVnvPl0u5GKoUJ3DkB

Text me here when done with full names:
(832) 843-8246

This is so I can approve your sign-up & send you all the health history forms & put you on the calendar for 1st visit. Thank you 🙏

Kindly,
Dr. Nicole Hoff, DMS, PA-C

📸 : me + my duck for attention
Ps. This was a scheduled text & I’m currently spending time with my family. If you message me or email and I don’t respond immediately, I will get back to you early next week.

**BIG ASK** Been spending a few hours each week at TOMAGWA Healthcare ministries, where we are starting the women’s heal...
03/12/2024

**BIG ASK** Been spending a few hours each week at TOMAGWA Healthcare ministries, where we are starting the women’s health program. From day 1, the OB/GYN patients will receive trauma informed care.

I know I have a lot of friends & followers here with extra mama/baby supplies so right now if you happen to have any books for families, I am taking gently used book donations to stock our OBGYN Lending Library. If you want to make a donation on books or supplies to help us get started, I can send you my Amazon wish list in a private message! I also need a **Doppler & Bassinet** if anyone has those they aren’t using !

The main goals of trauma-informed care in women's healthcare include:

1. Safety: Creating a safe and supportive environment where women feel comfortable disclosing their trauma history and can receive care without fear of judgment or re-traumatization.

2. Trustworthiness and Transparency: Establishing trust between healthcare providers and patients by being transparent about treatment options, respecting patient autonomy, and maintaining confidentiality.

3. Empowerment: Empowering women to actively participate in their healthcare decisions and providing them with resources and support to regain a sense of control over their lives.

4. Collaboration and Mutuality: Collaborating with patients to develop personalized care plans that address their unique needs and preferences, and fostering a sense of mutual respect and partnership between healthcare providers and patients.

5. Cultural, Historical, and Gender Sensitivity: Recognizing and addressing the impact of cultural, historical, and gender-related factors on women's experiences of trauma and healthcare seeking behaviors.

6. Resilience and Strengths-Based Approach: Recognizing and building upon women's strengths and resilience, and focusing on promoting healing and recovery rather than simply managing symptoms.

Thank you 🙏

02/21/2024

My therapist eats grass … 🐮
I know it’s been crickets on my page, but it’s because it’s been all about a cow over here.

We just moved my family from Spring to Magnolia. Traded an HOA for acreage.

Connecting WiFi. Unpacking. Getting settled in & then back to seeing patients in clinic. If you need telehealth this week please reach out.

Meet Hazel Marie. Our new family milk cow.

FYI 🐣👶 Babies conceived tonight will be due November 6th!! ❤️🤰 Happy Valentine's Day from your friendly PA who was a for...
02/14/2024

FYI 🐣👶 Babies conceived tonight will be due November 6th!! ❤️🤰 Happy Valentine's Day from your friendly PA who was a former doula/midwife app/childbirth educator/IBCLC!!!

I miss all the babies —bring them in!!

I ❤️ BABIES!!! 🌹

01/31/2024

Long C 🦠, post r-s-v symptoms, had “the flu“ at Christmas? AND still struggling with gunk?? You may need this info:
https://covid19criticalcare.com/wp-content/uploads/2022/09/FLCCC-Long-COVID-Protocol-Summary-12-11-23.pdf
and come see me!

Learn more about my community and the amazing space where I see patients.
01/25/2024

Learn more about my community and the amazing space where I see patients.

At Living Holistic, we believe that true health and wellness comes from a holistic approach to living. Our community is faith-based and centered on the principles of natural healing. We provide private office space, co-working, and event space for like-minded individuals to come together and support...

👩‍⚕️ Hello community! Seeking your trusted recommendations on medical specialists that you’ve seen & appreciated! And pe...
01/25/2024

👩‍⚕️ Hello community! Seeking your trusted recommendations on medical specialists that you’ve seen & appreciated! And perhaps in private let me also know who to NOT refer to!

…….Whether it's ……
Women's Health 🤰
Cardiology🫀
Pulmonology 🫁
Allergist 🍃
Orthopedics 🦴
Neurology 🧠
ENT / audiologist 👂👃🏽
Endocrine 🦋
Rheumatologist 🥄
Dentists /orthodontist 🦷
Oncologists 🧐
Ophthalmologist 👀
PT / OT / speech therapy 👏🏻
Acupuncture 👆
Chiropractor 🧑‍⚕️
Naturopath 🌺
….. and any other specialty….
share your experiences.

If you’ve had a positive experience, in the comments :
Please leave a name, location, info on bedside manner, costs, wait time, or other relevant details like respect to holistic healthcare.

In a PM/DM you can let me know who to avoid to send my patients to too!

There is no worse feeling than me sending a patient to an endocrinologist who doesn’t even touch my patient on exam & still charges $350 for them to walk through the door to be dismissed & told they’re “just depressed.” And this happens way too often.

Your insights are valuable! 🌐 💡

01/23/2024

PA Down… 😅. I’ve got strep & tech issues to top it off. I’ll get y’all scheduled soon but need to focus on me & my kiddos at the moment. Hang tight & stay well !!

Ever tried low dose naltrexone (LDN) for chronic aches & pains? So helpful! It’s a prescription but a much better option...
01/22/2024

Ever tried low dose naltrexone (LDN) for chronic aches & pains? So helpful! It’s a prescription but a much better option than daily ibuprofen or Tylenol. Message me for more info!!

🗣️Who is on it ? Share your results in the comments!!

👏🏻 Thank you to Cypress Compounding Pharmacy for having amazing customer service for my patients on LDN!

If you're facing difficulties affording your medication 💊, please don't hesitate to reach out to me 📩. With the start of...
01/21/2024

If you're facing difficulties affording your medication 💊, please don't hesitate to reach out to me 📩. With the start of the new year, it's common for my patients with insurance to have deductibles reset, and this might impact your medication costs 📊.

Please remember, ☝️ it's crucial not to skip your medications. In most cases, I can assist in finding a coupon, patient assistance, compounding , cash pay options, or alternative solutions (like crowdsourcing) to ensure your health needs are adequately met 🩺💙.

If I need to help you pay for a months supply of a crucial med I will do so & we can barter something/anything (I love edible trades). My patients do not go without! Your well-being is my top priority! 🥰

(NO, I do not take health insurance for services — as I am a cash pay Direct Primary Care provider. But often my patients do have insurance and can use it for medication, imaging, etc.)

01/20/2024

In need of a Mexican bakery 🥐🍰 .. for my mental health. Send your local recommendations!!
Please + Gracias! 🙏

Dear Homeschool Families,I'm reaching out with an update regarding the planned Anatomy & Physiology class for science cr...
01/16/2024

Dear Homeschool Families,

I'm reaching out with an update regarding the planned Anatomy & Physiology class for science credits, grade 7-12. Unfortunately, we did not meet the necessary number of sign-ups to make it happen this time. But don't worry! Let's aim for another try in March! 🌟 I am considering hosting the class, starting on March 18th. 📅

Your passion and interest in homeschooling are incredibly valuable, and I'm hopeful we'll see a wonderful turnout next time. Let's make it a success together! 📚👩‍🏫 Share & let others know so we can get a good group together for some fun dissections later In the spring.

Show your interest by filing this out & I’ll keep you posted.
https://forms.gle/rjb3s5DLaRU5aCwD8

Kindly,
PA Nicole 🫀

8 week course starts 1/15/24 For motivated 7th-12th graders In person meetings (optional) Fri mornings Zoom meetings (mandatory) evenings TBD $350 incudes textbook, coloring book, certificate for credits.

Stay in. Stay warm. Make a baby. Because newborns are my favorite ❤️.
01/14/2024

Stay in. Stay warm. Make a baby. Because newborns are my favorite ❤️.

Our morning update has the latest on light icing risk across the area and what to expect for temperatures. Winter weather advisories are now posted for light icing, so use caution traveling on Monday. Aside from that, cold, but manageable continues to be our approach to this one. Matt has more here: https://spacecityweather.com/light-icing-to-slip-up-travel-in-parts-of-the-region-tonight-monday/

01/13/2024

Next day, in the life of PA Nicole, because usually my days overlap 😂!! Video 6

Need healing this morning? Start here. About 6 minutes in (gets really good) if you’re not feeling somewhat better, we c...
01/13/2024

Need healing this morning? Start here. About 6 minutes in (gets really good) if you’re not feeling somewhat better, we can schedule a telehealth. HE is the great physician. 💪🏻🙌🙏 I help. He heals.

https://youtu.be/fEwDx8YJndU?si=Qf4uoSecXmWApry8


A powerful moment at Colour Conference 2018 in Sydney, Australia with Brooke Ligertwood, David Ware and the Hillsong Worship team.Click here to listen to the...

01/13/2024

A day in the life of PA mom… they are happy to see me, I promise, I was just a little late getting home!!

Thank you to everyone that came out to the open house. It was so nice to put a face to a fb name!

Let me know if you liked a little glimpse into my world. I will try to make more videos more often. Maybe I’ll eventually figure out how to do a story/reel like all the cool kids do. 

01/13/2024

A day in the life part 6 … 🍾

01/12/2024

Day in the life of Nicole the PA. Part 5 … starting to look tired & getting hungry…. I work thru my lunch breaks to help those that need a visit between work & carline!

01/12/2024

Day in the life of Nicole the PA. Part 2-4 … someone teach me how to do reels and stories I don’t know. 🤷‍♀️

To avoid the guilt trip, drama, gasps, glaring disapproval and angst of “non-crunchy providers”... …… Never ever, ever t...
01/12/2024

To avoid the guilt trip, drama, gasps, glaring disapproval and angst of “non-crunchy providers”...
…… Never ever, ever tell a room full of or “super non-holistic” docs &/or PAs that you had your baby at home. After a c-section, while eating cheese & listening to Christian songs of 2013.
….. Never share that you actually birthed in the bath tub & caught your own baby with husband helping while live streaming the birth for friends & family.
…… Never reveal that your other 3 kids were a part of the special day & are who revealed the new baby’s gender first, while mom delivered the placenta in the shower using help from herbs.
….. Never mention that you did your own newborn assessment & that dad weighed the baby with a fish scale while declining any ointments or pokes or extra things like stitches or fishnet underwear.
…. Never tell a “typical provider” that you did a placenta print while you tucked your whole family into bed as a family of 6 and went to sleep in your own bed only 4 hours after birth.
…. And for the love, never ever, reveal the strength of a determined woman while trusting her body.
…. OR TELL THEM, while you change the world!

Thank you for changing my world.
Happy 11th birthday Mabel!

👀 I see your texts & voicemails, potential patients, wanting to learn more 🥰. I appreciate you & am not ignoring or ghos...
01/11/2024

👀 I see your texts & voicemails, potential patients, wanting to learn more 🥰. I appreciate you & am not ignoring or ghosting you. I’m just a bit of a “one-woman show” and I like to call you to tell you more about me & my services personally… so please bare 🐻 with me as I find the time in the next few days to call you back!!

🚨‼️ If it is an urgent need please text me “urgent”.

What takes a lot of my time?
…. Pharmacies (particularly corporate big box ones)

They like to keep me on hold, but I advocate for patients so they get the meds they need for the right price. Ever had a pharmacy tell you “oh, we didn’t get the Fax yet.” Lies. Pure lies. 😆 I call them out on that! So let me know.

Why I love alll my compounding pharmacies!!! Honest people. And They are like the tv show Cheers. Everybody knows your name. Without all the beer and mailman. 🍺

Anyway, I should have bought stock in whoever created the 1992 hold music. 🎶

Promise. I’ll get to ya. 🙏

01/07/2024

Teen Intern applicants ! 🎉 I have your resumes, y’all are an impressive bunch!

I will be calling you by the end of the month. I apologize I got busy with holidays and work, but I have not forgotten ya! I also have not selected anyone just yet.

It looks like I may have 2-3 of you rotate so everyone can get some hands on experience. Hang tight! Will be in touch soon!

🌟 Where do you source your drinking water & electrolytes ? Staying Hydrated for Holistic Health! 💦Did you know that wate...
01/06/2024

🌟 Where do you source your drinking water & electrolytes ?

Staying Hydrated for Holistic Health! 💦

Did you know that water is a key to overall well-being? It's not just about quenching thirst; it's about nurturing every cell in your body. Here's why staying hydrated is essential for holistic health:

💧 Hydration and Your Body: Water makes up about 60% of our body weight. It's crucial for digestion, absorption, circulation, and even excretion. When you're well-hydrated, your body can perform these functions efficiently, contributing to your overall health.

🌿 The Holistic Benefit: Hydration isn't just about physical health; it's also about mental clarity and emotional balance. Adequate water intake can improve concentration, reduce fatigue, and help manage stress.

🍋 Importance of Electrolytes: While water is vital, it's not the whole story. Electrolytes like sodium, potassium, calcium, and magnesium are also crucial. They help balance the amount of water in your body, move nutrients into your cells, and waste out of them, and ensure your nerves, muscles, heart, and brain work the way they should.

🥥 How to Stay Hydrated: Drink plenty of fluids, eat fruits and vegetables with high water content, and consider beverages with essential electrolytes during intense activity or hot weather. Coconut water, for instance, is a natural source of electrolytes!

📚 Know Your Needs: Everyone's hydration needs are different. Factors like age, activity level, and climate can influence how much water you should drink. Listen to your body, and consult with me if you have specific concerns.

Remember, holistic health is about the whole you. So, drink up and stay balanced! 💙

Kindly ,
PA Nicole

Good morning ! 🌟 Strep test for some sour dough ? 🍞❓Remember Dr. Quinn Medicine Woman? I always admired how she often ba...
01/05/2024

Good morning ! 🌟 Strep test for some sour dough ? 🍞

❓Remember Dr. Quinn Medicine Woman? I always admired how she often bartered for her healthcare services. 💼

Guess what? We can do the same! If you're tight on cash, let's make a deal. After a $150 initial registration fee, which covers your first one-hour visit, we can trade for future visits! 🔄💖

Here's what I'm looking for in exchange for my healthcare services:

- Home cleaning (really needed!)
- Handyman services, like painting and drywall (also top of my list!)
- Teen girls' gently used clothes/shoes 👗👟
- Spanish lessons or tutoring (via Zoom!)
- Wellness treats: Acupuncture, massages, facials 💆‍♀️Haircuts or teen nails 💇‍♀️💅
- Yummy sourdough bread 🍞
- Homemade soups or casseroles 🍲
- Farm-fresh eggs 🥚
- organic & mushroom coffee ☕
- CBD products & other holistic goodies 🌿
- Marketing magic ✨
- Tutoring (4th-grade)
- Physical therapy
- gymnastics 🤸🏻
- Bitcoin/Apple Cash 💰
- Airline miles/Hotel points ✈️
- Sewing skills (curtains needed!)
- Green thumbs for a garden to be built🌻
- Yard work or tools 🌲
- Gently used golf gear ⛳

And for a bit of fun, I'm also looking to adopt some farm friends soon, like bunnies, goats, a horse and donkey duo, and even a mini-cow! Plus, hay & feed would be amazing. 🐰🐴🐐🐮

What else can you offer ?! I’d love to chat !

Let's help each other out and keep the community spirit alive! PM me if you're interested in this win-win situation! 🤗💚

Please share with your makers, crafters, growers, service providers etc!!

Today we are moving my son to start college in College Station, TX. Excuse me for a couple days while I am a bit emotion...
01/02/2024

Today we are moving my son to start college in College Station, TX. Excuse me for a couple days while I am a bit emotional when getting back to work!

So proud of this guy. He graduated from high school early & is moving just a couple months after turning 18. He is planning to either take after mom & go into the medical field as a PT or take after dad and go into business. But of course that can change & he will do great at whatever the Lord leads him to do.

Keep us in your prayers !

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Spring, TX

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