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

Dr. Nicole Hoff DMS, PA-C, Physician Assistant Unapologetically changing they way healthcare is done. Your health is in your hands. I am here to help. www.DrHoffHealth.com
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Dr. Nicole Hoff, DMS, PA-C is a Board-Certified Physician Assistant (PA) and a proud graduate of Yale University School of Medicine’s PA Program (2023). Nicole’s approach to healthcare is deeply personal and family-focused. "I want to have a family-friendly practice and schedule so my kids can stop sharing their mom so much," Nicole shares. "But I also want to be able to pray for my patients and with my patients. I don’t want insurance dictating the care I give, and I want to ensure my services are affordable. I believe in prescribing lavender oil, vitamin d, and sunshine, just as much as I do metformin, ibuprofen, and antibiotics. I also want to empower my patients to make their own healthcare decisions, recognizing that God is the great physician." Before becoming a PA, Nicole earned 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 10 years as an International Board Certified Lactation Consultant (IBCLC). She also spent time serving as a hospital chaplain that ignited a passion for supporting those navigating major life transitions, from welcoming their first child to experiencing loss or facing barriers to care. Nicole’s dedication to faith-based mental health care, especially for children and families, is at the core of her mission to provide affordable, accessible healthcare. In December 2023, Nicole completed her Doctorate of Medical Science from Shenandoah University. Her doctoral project focused on integrating Adverse Childhood Experiences (ACEs) screening into primary care as a standard of practice. Outside of work, Nicole cherishes time on their mini-farm in Magnolia with her husband and four children (born in ‘03, ‘05, ‘10, ‘13). Together, they strive to “Know Him and make Him known.” Whether in the North Houston area or her hometown community in the Rio Grande Valley, Nicole is passionate about making a difference. At Rife Pediatrics & Family Care, Nicole offers primary care for adults and children of all ages, faith-based mental healthcare services, and trauma-informed women’s health care. Her motto is: “Unapologetically changing the way healthcare is done. I am here to help.” You can reach her at 832-843-8246 for appointments or inquiries.

Happy to say these plants survived traveling from the Rio Grande Valley to Spring, TX & then eventually to Magnolia.  So...
01/21/2026

Happy to say these plants survived traveling from the Rio Grande Valley to Spring, TX & then eventually to Magnolia. Somehow, I kept some of them alive.

She’s the best !
01/20/2026

She’s the best !

Breastfeeding is instinctual—but support is often crucial🤍
Mobile lactation consultant + breastfeeding concierge
Heading to a home visit to support mama & baby in their own rhythm 🏡✨

01/06/2026
12/29/2025

How do I schedule a visit for “BURNOUT?” 😭
Or for “my kids are driving me CRAZY”? 🤪
Or “life is so stressful, I keep getting SICK”? 🤧

These aren’t dramatic complaints. They’re very real experiences — that have very real effects on your health.

Chronic stress shows up in:
hormones
sleep
immune function
gut health
mood
blood sugar
inflammation
& exhaustion.

Your body keeps the score, even when life tells you to “just push through.”

So instead of trying to fit these conversations into a rushed 20-30-minute visit for $100 — I’m proposing a different solution. Less cost. More time. Proven results. Excited to announce a new service ….

🤍 You’re Invited to The Table 🪑

The Table: Community Primary Care
A faith-rooted, group-based primary care experience with Dr. Hoff — centered on connection, shared wisdom & whole-person healing.

I’m inviting 8 individuals to gather for 2 unhurried hours at the table with tea & light treats.

“They broke bread in their homes and ate together with glad and sincere hearts.”
Acts 2:46

Each Table session will be thoughtfully designed around a shared health concern, allowing for deeper discussion, meaningful education, & genuine connection.

1️⃣ This first Table will be for women experiencing burnout — the kind that slowly seeps into the soul & effects overall health. If you feel worn down, stretched thin, or like your body is trying to get your attention, this space was created with you in mind.

📖 Details:
• 2 hours together in a guided, group setting
• Tea & treats provided ☕🍪
• Make new like-minded friends
• Discounted well-visit: $25 per person
• Vitals completed privately
• Leave with support & a gameplan
• HIPAA-compliant consent form required
• Space is intentionally limited to 8 participants to preserve privacy & meaningful discussion
• Date & time to be determined

This is not rushed medicine. It is care delivered with intention, presence, & wisdom — the way healthcare was always meant to be experienced.

It’s like a play date for moms with shared anxieties 😂 — but with real medical & friendship support that actually lasts.

Galatians 6:2, says “Carry each other’s burdens, and in this way you will fulfill the law of Christ.”

Individual follow-up visits, labs, or additional care may be recommended as needed.

If you feel called to pull up a chair & be part of — The Table — message me or comment below for next steps.

Kindly,
Dr. Hoff

“For where two or three gather in my name, there am I with them.” Matthew 18:20

===============
FAQ & The Research :

🧐 What is Group Care?
Group care is a way to receive your primary care where you meet with your healthcare provider along with other patients who have similar health needs. Instead of a traditional one-on-one appointment, you'll be part of a small group that meets together for medical care, health education, and peer support.[1][2]

⭕️ How Group Care Works
In group care, you'll attend appointments with 8-15 other patients who may share similar health conditions or health goals. These sessions typically last 90-120 minutes, which is much longer than a typical office visit. During this time, you'll receive:[2]
- Medical care from your healthcare provider
- Health education about managing your condition
- Time to ask questions and discuss concerns
- Support and advice from other patients facing similar challenges
- Opportunities for one-on-one consultation with your provider when needed

❤️ Benefits of Group Care
Research shows that group care can improve your health in several important ways:[1][3]
- Better health outcomes: Studies show improved control of conditions like diabetes and high blood pressure
- More knowledge: You'll learn from both your healthcare team and from other patients' experiences
- Stronger support: You'll build relationships with others who understand what you're going through
- Greater satisfaction: Most patients report being more satisfied with group care than traditional visits
- Better access to care: Longer appointment times mean more of your needs can be addressed in one visit
- Group care has been shown to reduce emergency room visits and hospital admissions while improving preventive care.[4] Patients in group care often develop better self-management skills and feel more confident managing their health.[5][2]

📄 Your Privacy Matters
While group discussions are encouraged, you always have the option for private time with your provider when needed. What is shared in the group stays confidential among group members.[2]

References
1. Group Medical Care: A Systematic Review of Health Service Performance. Cunningham SD, Sutherland RA, Yee CW, et al. International Journal of Environmental Research and Public Health. 2021;18(23):12726. doi:10.3390/ijerph182312726.
2. Group Medical Visits Can Deliver on Patient-Centred Care Objectives: Results From a Qualitative Study. Lavoie JG, Wong ST, Chongo M, et al. BMC Health Services Research. 2013;13:155. doi:10.1186/1472-6963-13-155.
3. Effectiveness of Group Medical Visits for Improving Diabetes Care: A Systematic Review and Meta-Analysis. Housden L, Wong ST, Dawes M. CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne. 2013;185(13):E635-44. doi:10.1503/cmaj.130053.
4. A Randomized Trial of Group Outpatient Visits for Chronically Ill Older HMO Members: The Cooperative Health Care Clinic. Beck A, Scott J, Williams P, et al. Journal of the American Geriatrics Society. 1997;45(5):543-9. doi:10.1111/j.1532-5415.1997.tb03085.x.
5. Using Group Medical Visits With Those Who Have Diabetes: Examining the Evidence. Housden LM, Wong ST. Current Diabetes Reports. 2016;16(12):134. doi:10.1007/s11892-016-0817-4.

12/25/2025

🎄❤️ This Christmas season, our hearts are full of gratitude. If you trusted us with your care this year — or if you plan on seeing us in the new year ahead — we want you to know how deeply thankful we are for you.

Caring for you and your family is not just our work, it is our calling. 🙏 We pray this season brings you joy, comfort, peace, and health, and that you feel God’s presence in both the quiet moments and the celebrations.

✨ “For unto us a child is born, unto us a son is given.” — Isaiah 9:6

From our team to your family, Merry Christmas and blessings in the New Year.

Kindly,
Dr. Hoff & The Team

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

Matthew Hoff
Billing Manager

Karen Zacharias-Enax, IBCLC
Lactation Consultant

Jordan Hart
Office Manager, Medical Assistant

Taija King
Medical Assistant

Annie & Mabel Hoff
Front Desk

❤️🎄✨

Soo worth the read to understand how dental health affects overall health!
12/20/2025

Soo worth the read to understand how dental health affects overall health!

Please consider an evaluation by a biological dentist. There a a few in the Northwest Houston Area. I see Dr. Adrianna Wells.

“This is a picture of a root canal that was in my mouth for 8 years.
(Not coincidentally I’ve had an autoimmune condition for 8 years).
I took this picture at a local LA dentists office, where I’d gone to humor myself with a conversation over extracting it. I am my own science project. Might as well gather data.
As expected, the Dentist argued with me that it didn’t need extraction.
I told her it was infected.
She said there’s no sign of infection.
I told her you can’t SEE infection on a 2D x-ray.
I told her about the overwhelming scientific PROOF that root canals are extremely toxic to the body.
And that 90% of Cancer patients have them in their mouth.
And that chronic illnesses of ALL kinds (especially autoimmune related) have been scientifically linked to root canals.
She asked me how I knew this.
I told her I’d been reading the work of Dr. Weston Price.
And Dr Robert Kulacz.
And Dr Josef Issels.
And Dr Thomas Levy.
She got frustrated and left the room.
I got up and looked through her computer to find this image and take this pic.
The finance girl came in and quoted me on extraction.
$920 with dental insurance.
Thanks!
3 weeks ago I went down to highly recommended American BioDental. In Mexico, just over the Border.
They did a Panoramic x-ray and 3D Imaging.
Those didn’t show much in the way of infection either.
The Dr. said I should pull it anyway.
“No necrotic tissue should be left in the body”
Agreed.
They put me on IV Vitamin C, doped up my face and pulled the tooth.
“Can I see it?” I blubbered, right after it was removed.
“Sure”
BLACK inside.
Totally black.
“That’s infected!”
“Yes, and there's some here on your jaw as well”.
8 years. NO pain and NO symptoms of infection.

Why are there no symptoms?
Because there’s no blood flow. And no nerves.
There’s no oxygen either.
Do you know what happens to bacteria that gets shut off from oxygen?
It goes SUPERNOVA! THE most toxic thing you can have inside your body (besides Mercury) is Anaerobic Bacteria.
“OMG” I said. “Please scrape that s**t out”.
They did.
$470 later I was headed home.
See the comments if you’d like to see the tooth (not trying to ruin anyone’s lunch).
So what next?
Cavitations - holes in the jaw left over from extractions. 100% chance of infection – hence the hole - the jawbone never regrew.
14 years ago I had my wisdom teeth pulled. 2 up top, 2 down below.
No pain. No inflammation (sensing a pattern?).
Panoramic x-ray shows 2 bottom cavitations (see comments for THAT pic). The jaw never regrew. That means they’re ALSO filled with bacteria.
Solution? Open them up, scrape the periodontal ligament that was LEFT in there out, scrape the jaw which no doubt the bacteria have burrowed into, zap with ozone, fill with blood plasma, stitch up, and let the bone do the rest.
------------
Traditional Dentists are NOT trained to pull that ligament. It’s a fleshy piece that attaches the tooth to the jaw. It always gets left behind, because traditional dentists learn in dental school that if you sterilize the area it will be fine. So a piece of flesh with NO blood supply, ie: no white blood cell delivery, dies, and is LEFT IN YOUR JAW. For years. Where in ANY medical literature does it say it’s “ok” to leave dead tissue INSIDE the body?
Yet Dental Schools teach that this is not an issue. Dentists practice accordingly.
They will tell you the area is sterilized. That all bacteria have been killed off.

Do you know every tooth in your mouth has 3-5 MILES of microscropic tubules inside? It’s physically impossible to kill all that bacteria! If the blood supply is cut off there is also no management of the bacteria.
When a dead tooth is left in that bacteria will multiply. And go supernova. And travel THROUGHOUT the body.
When dead ligament tissue is left in a wisdom tooth extraction site the bacteria will multiply. And go supernova. And travel THROUGHOUT the body.
This is a shocking and shameful secret. Shameful because there's proof that the ADA has KNOWN about it for many years.

Oral bacteria has been found in the hearts of people that died due to heart disease.
How does this anaerobic bacteria from the mouth find it’s way into the heart (and everywhere else)?
The lymph system.
Every. Time. You chew. Your Food.
Those mysterious chronic illnesses? The ones the doctors can’t find a cause for? The ones we can’t seem to heal, only control symptoms of?
Many are caused by toxic teeth and mouths that contain anaerobic bacteria.
No Symptoms. No Pain. No inflammation.
Google the Doctors I mentioned above. See what happened to their careers when they went public with their findings.
See the extent to which Endodontics will go to in order to quiet credible Doctors from sharing this and saving people's lives.
30 Million Root Canals are done every year in the United States.
Can you say “$$”?
-------
By contrast, there are Holistic Cancer Doctors that will refuse to treat you until you get your root canals removed and your cavitations handled.
Hardlines are necessary sometimes. What’s the point of all the work to detox when the mouth is a toxic waste site dumping into the waters of the body at every turn?
Your Immune System cannot do it all. If it’s constantly being called to handle anaerobic bacterial invasion throughout your body it can't adequately support your other systems.
Anyway, I needed to share this, cause I KNOW a lot of people have had their wisdom teeth removed.
Some of you have had Root Canals.
Dentists will argue with you that they don’t need to be pulled.
That the x-rays look fine.
Remember my story.
When this "fine" looking tooth came out it was black inside and my jaw was infected as well.

PS: I’ve wanted this tooth gone for years. I was asked why didn’t I do it earlier.
Because I went to a highly-regarded Kinesiologist to test my tooth and he ALSO said it was fine. And I accepted what he said.
Until I fell down the Cancer treatment rabbithole.

TRUST YOUR INSTINCTS!

Only YOU know what feels right and what feels not-right.
Only YOU have Agency over your health, your healing.
Do not give that Agency to anyone else.
Get your mouth looked at. Not by a traditional DDS.
By a Holistic or Biological Dentist.
If you have an adrenal condition, an autoimmune condition, a metabolic condition, a chronic condition of ANY kind, read the work of the Dr’s mentioned here.
Get educated and then get yourself in a chair and get that s**t taken out.

Rant Over.
Thanks for Reading.”

-Reirani Kiri Taurima

💛 Community Support Needed 💛 With my  patient’s parents’ permission, I’m sharing this fundraiser for a very sweet child ...
12/19/2025

💛 Community Support Needed 💛 With my patient’s parents’ permission, I’m sharing this fundraiser for a very sweet child & family who could truly use some extra support right now.

🙏If you’re able to help—through a donation, a share, or a prayer—it would mean so much to this family. Every little bit helps, and even sharing this post can make a difference.

Thank you for being such a compassionate community. 🤍 We are praying for you, Gio!! 🫶

👉 If you donate more than $300, send me a screenshot to hello@drhoffhealth.com & I will give you a free well or sick visit (adult or child).

It truly pains me to ask for help, but we are reaching out during one of the mos… Andrea Hair needs your support for Standing with Giovani Through His Surgery

Will trade hens 4 healthcare. Lost all but one. 😢 Fortifying the coop, so let me know if you have laying hens willing ...
12/15/2025

Will trade hens 4 healthcare. Lost all but one. 😢 Fortifying the coop, so let me know if you have laying hens willing to barter.

12/14/2025

🌿 Fl**ge Fit Matters More Than You Think!
As a private practice IBCLC, one of the most crucial things I teach for pumping moms is how deeply fl**ge sizing impacts your milk expression, comfort, and overall pumping experience — it’s truly transformational when the fit is right 👏🏼👏🏼

✨ Why fl**ge fit is everything:
• A proper fit protects your ni**le + ar**la from unnecessary friction & damage
• It supports healthy milk flow and reduces ni**le swelling & irritation
• It helps prevent clogged ducts, pain, and “elastic ni**le” issues
• And best of all… it can boost your milk output because your breast can better empty therefore stimulating more milk 🥛

🌀 Signs your fl**ge might NOT fit:
• Pinching, rubbing, or blanching
• Excessive ar**la being pulled into the tunnel 😵‍💫
• Ni***es turning white or increasing dramatically in size
• Pain (pumping should not hurt!)
• Low output despite consistent pumping & breasts still feel full

💗 What the right fit feels like:
• Gentle movement of only the ni**le — not stretching or pulling in your ar**la
• No pain, no ring marks
• A soft, effective milk flow that doesn’t feel forced

🌸 If you’re unsure about your fl**ge size, I’d love to help you find a fit that supports your comfort, your supply, and your healing postpartum journey. 🤍

**gefitmatters

By God’s grace, Dr. Hoff is officially FULL!!!Friends — an important update from my heart to yours. 💛✨Dr Hoff is at capa...
12/13/2025

By God’s grace, Dr. Hoff is officially FULL!!!
Friends — an important update from my heart to yours. 💛✨Dr Hoff is at capacity for PRIMARY CARE patients. 🙌

This growth has been humbling, stretching, and deeply meaningful & I give all the glory to God.

…. 📌 What is FULL vs. what is STILL OPEN …..

🚫 FULL / AT CAPACITY
• Primary Care with Dr. Hoff
🗓️ Enrollment deadline: December 19

After the 12/19 date:
• Only new family members of currently enrolled patients may be added
• General primary care enrollment will pause

🔄 Spring 2026: We will reassess opening primary care enrollment up again
• At that time, membership-only options may be the only availability (no pay-per-visit)

⏳ Primary Care Waitlist:
👉 https://forms.gle/skeVB8M1xiKectCs7

📧 Questions about primary care enrollment?
Email: hello@drhoffhealth.com

…………………………… 🌺 ……………………………..

✅ STILL OPEN & ACCEPTING PATIENTS:

🤱 Lactation Care with Karen, RN, IBCLC
• Breastfeeding support
• Infant feeding challenges
• Postpartum guidance

🏠 Mold & Environmental Health with Barbie
• Mold illness support
• Detox and recovery coaching
• Home/environmental guidance

🌿 Whole-Health Coaching
Lifestyle, nervous system, and root-cause support
• Faith-centered, personalized care

🛍️ Our health and wellness shop, currently stocking:
• Earthley
• Boron
• Dr GreenMom
• lactation & detox products

These services remain open and available, and our team is ready to serve you. 🤍

“The Lord will fulfill His purpose for me.”
— Psalm 138:8 ✝️

Thank you for trusting this practice, this team, and this calling. We are honored to walk alongside you in health and healing.

Need to enroll? L 📲 Text: 832-861-0615

Kindly,
Dr. Hoff

Ps. Why? 😅
Why am I at capacity? How does DPC work?
Great question — and one I’m always happy to explain. 🤍

Direct Primary Care (DPC) is very different from traditional insurance-based medicine.

Instead of seeing thousands of patients & rushing through 7–10 minute visits, I intentionally limit my patient panel so I can:

• Spend real time with you (30-60min)
• Know your full story
• Offer quick access when you’re sick
• Answer messages personally
• Practice preventative, root-cause, whole-person medicine

In a DPC model:
🩺 Patients pay a monthly membership
🩺 I do not bill insurance
🩺 My income is not tied to volume
🩺 Care is built on relationship, access, & trust

Because of that, there is a natural & necessary cap on how many primary care patients I can safely & ethically care for at one time.

I never want to over-enroll, burn out, or dilute the level of care my patients deserve. That would go against why I started this practice in the 1st place.

“Each of you should use whatever gift you have received to serve others, as faithful stewards of God’s grace.” — 1 Peter 4:10

Limiting enrollment isn’t about exclusivity — it’s about stewardship, sustainability, & doing medicine the way it was meant to be done. I like knowing that your 3rd daughter bites her nails. That your allergies are dust and egg. That you’re a fan of earthly products. I like knowing the little nickname you call the baby. With too many patients, I would lose that. 

I am so grateful for the trust this community has placed in me, and I promise to continue reassessing access thoughtfully and prayerfully as we grow. 🌿

Hello families ! Thank you so much for the opportunity to care for you through Rife Pediatrics & Family Care. Being part...
12/01/2025

Hello families ! Thank you so much for the opportunity to care for you through Rife Pediatrics & Family Care. Being part of your health journey has truly been an honor and a gift.

As a final reminder, today, November 30th, was my last day with Rife Pediatrics & Family Care.

If you need to reach me moving forward, please visit my website: www.DrHoffHealth.com

Everything you need to stay connected is available there.

Thank you again for being part of my journey and for letting me be part of yours.

Kindly
Dr. Nicole Hoff, DMS, PA-C
Physician Assistant
Dr. Hoff Holistic Health & Wellness

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Magnolia, TX

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