Echo Ora Rose Downey, PMHNP-BC
NPI 1881296515ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Gillette, WY
Nurse Practitioner, Psych/Mental Health (PMHNP-BC) with Campbell County Hospital District, practicing in Gillette, Wyoming. Their prescriptions cost Medicare Part D more than their services did: $447,826 for 1,507 claims, against $17,619 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 8 companies reporting payments in 2025, $492.48 in all, mostly food and beverage. Lists Campbell County Health as a hospital affiliation.
Overview
| NPI | 1881296515 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP-BC |
| Sole proprietor | No |
| NPI issued | Nov 9, 2020 |
| Last updated in NPPES | Apr 10, 2021 |
| Certified by provider | Mar 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 47506 | WY |
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 (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 319 across 4 procedure codes |
| Paid by Medicare | $17,619 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,507 · 2,430 30-day fills |
|---|---|
| Patients | 113 |
| Total drug cost | $447,826 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Campbell County Hospital DistrictGillette, WY · 131 clinicians
Hospital affiliation
- Campbell County HealthGillette, WY
Industry payments (Open Payments)
- 2025$492.48 · 27 payments from 8 companies
- 2024$578.20 · 32 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $147.11 | 11 |
| Lundbeck LLC | $103.73 | 6 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $72.20 | 3 |
| Alkermes, Inc. | $65.36 | 3 |
| Supernus Pharmaceuticals, Inc. | $38.47 | 1 |
What the 2025 payments were for
- Food and Beverage$492.48 · 27 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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