ASHLEY ENGESSER, CNM, IBCLC appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding CNM, IBCLC credentials at 777 AVENUE H, POWELL, WY, 82435, with a listed phone of (307) 754-2267. NPI 1508329582 was issued on 04/08/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ENGESSER 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 47 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $3K in drug spend. 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 71.7793/100 for the 2023 performance year (Quality 77.3079, Cost 28.623), 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.