Rebekah Layher, DNP
NPI 1447830047ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Casper, WY
Nurse Practitioner, Psych/Mental Health (DNP) with Peaceful Minds LLC, practicing in Casper, Wyoming. Their prescriptions cost Medicare Part D more than their services did: $180,680 for 1,015 claims, against $12,052 paid for services in 2024. Alkermes, Inc. was the largest of 12 companies reporting payments in 2025, $1,203 in all, mostly food and beverage.
Overview
| NPI | 1447830047 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP |
| Sole proprietor | No |
| NPI issued | Apr 9, 2021 |
| Last updated in NPPES | Nov 15, 2022 |
| Certified by provider | Nov 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 51136 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 142 across 6 procedure codes |
| Paid by Medicare | $12,052 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,015 · 1,091 30-day fills |
|---|---|
| Patients | 58 |
| Total drug cost | $180,680 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Peaceful Minds LLCCasper, WY · 3 clinicians
Industry payments (Open Payments)
- 2025$1,203 · 55 payments from 12 companies
- 2024$1,183 · 71 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $289.21 | 11 |
| Otsuka America Pharmaceutical, Inc. | $264.99 | 10 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $138.36 | 14 |
| Teva Pharmaceuticals USA, Inc. | $111.24 | 2 |
| Lundbeck LLC | $104.30 | 5 |
What the 2025 payments were for
- Food and Beverage$1,112 · 54 payments
- Education$91.25 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 41 psychiatric nurse practitioners in Casper · All psychiatric nurse practitioners in Wyoming