2026 NPPES data Advanced Practice Midwife NPI 1033362066 APNP, PMHNP-BC, CNM
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ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM

Advanced Practice Midwife in APPLETON, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 108 beneficiaries · Advanced Practice Midwife avg: 99
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.7756/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM reported a CMS MIPS final score of 77.7756/100 — below the 83.1 national average — and filed 1,129 Medicare Part D claims in 2023.

77.7756/100
MIPS score · -5 vs avg
1K
Part D claims, 2023
93%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

78 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM?

Below national average

NPI registry status

Active

Issued 11/04/2008

NPI 1033362066

Primary specialty

Advanced Practice Midwife

Mid-sized

10,893 US NPIs in this specialty

Medicare Part D claims

1,129 1040% vs specialty avg

2023 prescription claims

Specialty avg: 99

MIPS final score

77.7756/100 5.324399999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Advanced Practice Midwife compares to other specialties among Wisconsin providers

Wisconsin providers

Advanced Practice Midwife share within Wisconsin

1. Advanced Practice Midwife42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Practice Midwife share within Wisconsin

Medicare quality performance — MIPS

ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's 2023 MIPS final score plotted against the Advanced Practice Midwife national average

Below national average
MIPS Final Score
77.7756/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Practice Midwife) — 77.7756/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Advanced Practice Midwife) — 77.7756/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM is a Advanced Practice Midwife provider practicing in APPLETON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APNP, PMHNP-BC, CNM. NPI: 1033362066. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding APNP, PMHNP-BC, CNM credentials at 1531 S MADISON ST, APPLETON, WI, 54915, with a listed phone of (920) 730-4411. NPI 1033362066 was issued on 11/04/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what UPHUS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,129 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $179K in drug spend, split 7% brand-name and 93% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.7756/100 for the 2023 performance year (Quality 77.471, Cost 63.8013), compared with the national average of 83.1.

Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,893 enrolled providers across 55 states and an average of 99 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1531 S MADISON ST
APPLETON, WI 54915

Provider Details

NPI 1033362066
Specialty Advanced Practice Midwife
Credentials APNP, PMHNP-BC, CNM
Gender Female
NPI Issued 11/04/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.7756
Final Score
Avg: 83.1
77.471
Quality
63.8013
Cost
77
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC
APPLETON, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 1,129 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,129
Total Claims
$179K
Total Drug Cost
108
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,654
Total Day Supply
48,330
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$142K
Generic Drug Cost
$37K

Patient Demographics

Average Patient Age
55.2 years
Avg HCC Risk Score
1.22
Gender Split
67% female / 33% male
Age Distribution
<65: 65, 65-74: 32, 75-84: 11, 85+: 0

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Trazodone Hcl
64
Escitalopram Oxalate
59
Lorazepam
58
Dextroamphetamine-Amphetamine
Dextroamphetamine/Amphetamine
55
Fluoxetine Hcl
52
Duloxetine Hcl
45
Bupropion Xl
Bupropion Hcl
44
Clonazepam
43
Quetiapine Fumarate
43
Citalopram Hbr
Citalopram Hydrobromide
40

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Advanced Practice Midwife Overview

How ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM fits within the Advanced Practice Midwife landscape nationally.

10,893
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
99
Avg Claims per Provider

ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's 1,129 claims are above the specialty average of 99.

Nearby Advanced Practice Midwife Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as UPHUS.

Compare Advanced Practice Midwife nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's specialty?
ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM specializes in Advanced Practice Midwife and practices in APPLETON, Wisconsin. Credentials: APNP, PMHNP-BC, CNM.
How much does ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM prescribe under Medicare Part D?
In 2023, ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM wrote 1,129 Medicare Part D claims totaling $179K in drug costs for 108 beneficiaries.
What is ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's Medicare quality score?
ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM has a CMS MIPS Final Score of 77.7756/100 (Quality: 77.471, Cost: 63.8013). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM located?
ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM is located at 1531 S MADISON ST, APPLETON, WI, 54915. Phone: (920) 730-4411.
What is ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's NPI number?
ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's National Provider Identifier (NPI) is 1033362066, issued on 11/04/2008.
Does ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM prescribe more brand-name or generic drugs?
ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's prescribing is 7% brand-name and 93% generic drugs by claim count, with $142K in brand drug costs.
How many Advanced Practice Midwife providers are there in the US?
There are 10,893 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 99 Medicare Part D claims per year.
What drugs does ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM prescribe most often?
Based on 2023 Medicare Part D data, ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's most frequently prescribed drugs include Trazodone Hcl, Escitalopram Oxalate, Lorazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM accept Medicare?
ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM appears in CMS Medicare data with 1,129 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's credentials?
ANNEMARIE UPHUS, APNP, PMHNP-BC, CNM's NPI is 1033362066 with credentials APNP, PMHNP-BC, CNM. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology