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.

11/29/2025
11/19/2025

It’s not you. It’s not us. There’s nationwide tech outages. If we’re not responding, we’re not getting a message. So please just try to keep sending again…. and please bear with us.
https://downdetector.com

My pain had a purpose. 🙏 So does yours. 🫶Come see us. 👇
11/11/2025

My pain had a purpose. 🙏
So does yours. 🫶
Come see us. 👇

Follow us here …
11/08/2025

Follow us here …

🎓Tomorrow I start my next course toward earning my Personalized Medicine Certification — and I couldn’t be more excited ...
11/07/2025

🎓Tomorrow I start my next course toward earning my Personalized Medicine Certification — and I couldn’t be more excited (& maybe slightly worried of how little rest I’ll get this weekend 😅).

💭 Honestly, I almost passed on this course because the timing is soooo not ideal — I’m already swamped with transferring/enrolling patients into the new practice, and juggling all the needs at work & home. 🏡

But Wednesday, as I looked through my list, I saw names that whispered
“take the course now, we can’t wait”—

the dad with seizures,
the daughter with lyme,
the grandma with pots,
the one with BP 159/110,
the family remediating mold,
the mom with adhd & brain fog,
the one with bedridden fatigue,
the teen fighting dark thoughts,
the child with neurological symptoms I can’t yet explain. 💔

And I knew… this is exactly why I need to keep learning.

They don’t want mainstream medicine. They need personalized medicine.

So I enrolled in my 2nd course
— exhausted but expectant —
knowing that when I finish, I won’t be the same provider I was before.

Being obedient to what God calls us to do doesnt always feel good, (sometimes we just want a 3 day nap) but I’ll be better equipped to care for my patients even if right now it means pushing through a lotta tired. ❤️‍🔥

🤔 Why a Personalized Medicine Certificate instead of Functional Medicine?

Well… let’s be honest
— 💸 COST plays a big role!

Some functional medicine programs practically want a kidney for tuition, and I’m still using both of mine. 😝

Plus, I’m still sending monthly love notes to Yale’s student loan lender 💀 — so finding a respected university with a school of medicine program that’s both credible and financially survivable felt right.

🧬 What Makes This Program Special?

It’s taught by world-renowned physicians and PhDs — including Dr. Pamela Smith, Dr. Patricia Kane, and Dr. Barbara Fisher 👏

The curriculum dives deep into:
💊 Endocrinology + Hormone balance — Done ✅
🧠 Neurology, Psychiatry, Cardiology, & memory maintenance — this weekend 💟
🦠 GI health & toxicology✨ Autoimmune disease & dermatology— soon ⏯️
…and how to actually interpret functional medicine labs and apply them in real practice.

This is a “what to do Monday morning” kind of certification — practical, science-based, and immediately useful for patient care.

🩺 What This Means for YOU
— My Patients

This certification will bring even more personalized, evidence-based, whole-body care to every visit. 🙌

You’ll benefit from:
*️⃣ More precise and individualized treatment care plans
🧩 A deeper understanding of why your symptoms occur
🧠 New science on genetics, mood, inflammation, hormones & gut health
🙏 A continued blend of faith, holistic care, and medical science

In short — it’s about helping you heal better, faster — through care that’s truly root cause-centered. 💗

⛰️ This Weekend:
I’ll be “in class” (Mountain Time Zone) Friday–Sunday, soaking it all in and probably surviving on coffee ☕️ — so thank you in advance for your patience with slower reply times!

Here’s to lifelong learning, faith, & keeping both kidneys intact while unapologetically changing the way healthcare is done one patient at a time. 😉💪

11/02/2025

🌿 Now Hiring: Licensed Family Counselor 💜

Dr. Hoff Holistic Health & Wellness is growing — we’re looking for a compassionate, faith-aligned Licensed Family Counselor (LPC, LMFT, or LCSW) to join our integrative primary care team.

We believe in caring for the whole person — body, mind, and spirit — and we’re seeking someone who shares that heart for helping families heal, grow, & thrive. 💚 Not just “survive.”

Position Details:
• Flexible schedule (part-time)
• In-clinic counseling and/or hybrid telehealth options
• Family-focused caseload: children, teens, adults, & whole lotta parents
• Start Date: Dec to Early 2026
📍 Magnolia, TX (“Old Magnolia” – west of 249)

Ideal Candidate:
• Licensed in Texas
• Experienced with family systems, child/adolescent therapy, healthcare ptsd, & trauma-informed care
• Open to blending traditional & holistic approaches
• Rooted in faith & passionate about emotional wellness
• Professional, dependable, & relational

Already have your own business? That’s great! You can maintain your independence while being part of our supportive, faith-rooted team as an independent contractor.

Why Join Us:
• Collaborative, purpose-driven environment
• Flexibility, autonomy, & opportunity for growth
• Integration of holistic tools and spiritual care
• Likeminded P*P able to prescribe as needed

📩 To Apply:
Send your resume, faith background, & a short statement about your counseling philosophy to: Hello@drhoffhealth.com

Let’s bring hope and healing to families — together.

Kindly,
Dr. Nicole Hoff, DMS, PA-C
Dr. Hoff Holistic Health & Wellnessess

🍼💩 Funny (but real!) clinic request! 💩🍼Hey friends — I have a funny but serious request! 😂 The next time you’re in clini...
11/02/2025

🍼💩 Funny (but real!) clinic request! 💩🍼

Hey friends — I have a funny but serious request! 😂 The next time you’re in clinic, could you please consider donating a diaper or two in whatever size your baby/toddler wears?

Sometimes we have little ones come in sick… & well, let’s just say the diaper situation goes south FAST. 🚨 We’ve had a few pukes or blowouts so epic that kiddos have gone home nakey 😅👶💨!! I just can’t keep a stash of boxes of all sizes of diapers in my small space when we only need a few !

Parenting is NOT for the faint of ❤️!

Also, if you’ve got extra wipes, balms, creams, formula, snacks, pacis, sippies, blankies, bibs, breast pumps & pads, or remedies that didn’t work out for your kiddo — we’d love to give them a second life with families who need them. 💕

Thanks for helping keep our tiny patients clean, comfy, & clothed (mostly)! 🙏🧷👕

Kindly,
PA Nicole

📸: my now 15yo who we used to say “lucky she is cute” because she spit up on me due to pretty bad reflux, almost every nursing session…. this was on a Sunday right before church of course!

Happy Sunday to any parents that made it out of the door to Church dry today! 

🎃 I haven’t gotten nearly enough texted pics of your kiddos all dressed up! Where’s all my little newborn patient pumpki...
11/01/2025

🎃 I haven’t gotten nearly enough texted pics of your kiddos all dressed up! Where’s all my little newborn patient pumpkins at?
🍭 But thankfully, no texts about tummy aches, post-sugar overdload!!!
📸 Here’s my 12yo. If you have preteens, you know.  😂

Please note ….🙏 I don’t wanna miss anyone!!
10/30/2025

Please note ….🙏 I don’t wanna miss anyone!!

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Magnolia, TX

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