Echo Ora Rose Downey, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Gillette, WY
NPI 1881296515 · NPPES record last updated Apr 10, 2021
Key facts
- NPI
- 1881296515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 47506 (WY)
- Practice address
- 501 S Burma Ave
Gillette, WY 82716-3426 - Phone
- (307) 688-1000
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Campbell County Hospital District
Practice addresses (Care Compare)
501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000
Hospital & facility affiliations
- Campbell County Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211021002698 | WY | Practitioner - Nurse Practitioner | 2567850662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current |
Accepting new patients | |
| Campbell County Hospital District | Current |
Accepting new patients |
Locations
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 47506 | WY | Yes |
Addresses
Primary practice location
501 S Burma Ave
Gillette, WY 82716-3426
Mailing address
6301 Tassel Ave
Gillette, WY 82718-7674
Phone (307) 299-4088
Other practice location 1
6301 Tassel Ave
Gillette, WY 82718-7674
Phone (307) 299-4088
Other providers in Gillette, WY
- Christina Lee Dirocco
- Leah Christine Docter
- Clay William Dokken
- Renae Dorrity
- Leslie Dowdy
- Downtown Pediatrics, PC
- Dragonfly Therapy
- Cassidy R Drevlow
- Madison Driskill
- Michelle M Dubovsky
All providers in Gillette, WY · Psychiatric/Mental Health Nurse Practitioner in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.