Kristina Marie Downing, MSN, APRN,FNP
NPI 1518218718ActiveIndividual· Nurse Practitioner· Norfolk, NE
Nurse Practitioner (MSN, APRN,FNP) with MD West One PC, practicing in Norfolk, Nebraska. Their prescriptions cost Medicare Part D more than their services did: $530,948 for 6,214 claims, against $70,351 paid for services in 2024. Abbvie Inc. was the largest of 16 companies reporting payments in 2025, $644.04 in all, mostly food and beverage. Lists Antelope Memorial Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1518218718 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, APRN,FNP |
| Sole proprietor | No |
| NPI issued | Sep 27, 2012 |
| Last updated in NPPES | Sep 25, 2025 |
| Certified by provider | Sep 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 111378 | NE |
| Nurse Practitioner, Family | 363LF0000X | 111378 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ); Practitioner - Nurse Practitioner (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 225 |
|---|---|
| Services billed | 1,495 across 44 procedure codes |
| Paid by Medicare | $70,351 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,214 · 15,988 30-day fills |
|---|---|
| Patients | 455 |
| Total drug cost | $530,948 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- MD West One PCOmaha, NE · 91 clinicians
Hospital affiliations
- Antelope Memorial HospitalNeligh, NE
- Columbus Community Hospital, IncColumbus, NE
- Faith HealthNorfolk, NE
- Tucson Medical CenterTucson, AZ
Industry payments (Open Payments)
- 2025$644.04 · 36 payments from 16 companies
- 2024$1,314 · 92 payments from 19 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $162.65 | 9 |
| Pfizer Inc. | $69.43 | 4 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $61.55 | 4 |
| Vertex Pharmaceuticals Incorporated | $60.99 | 3 |
| Abbott Laboratories | $39.49 | 2 |
What the 2025 payments were for
- Food and Beverage$644.04 · 36 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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