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2026 NPPES data Advanced Practice Midwife NPI 1508329582 CNM, IBCLC
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Ashley Engesser, CNM, IBCLC

Advanced Practice Midwife in Powell, Wyoming.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,199 in Advanced Practice Midwife, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
56
Medicare Part D claims · 16 beneficiaries · Advanced Practice Midwife avg: 100
MIPS score
71.8/100
▼ 12 pts below national avg 83.5 · Mid-tier
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Ashley Engesser, CNM, IBCLC reported a CMS MIPS final score of 71.8/100 - below the 83.5 national average - and filed 56 Medicare Part D claims in 2024.

71.8/100
MIPS score · -12 vs avg
56
Part D claims, 2024
≥9th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Ashley Engesser, CNM, IBCLC

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1508329582), first enumerated 04/08/2019.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 56 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 71.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1508329582 · Advanced Practice Midwife

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-LOW · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1508329582
  • ENUM-RECENT 2019
  • TAX-MID 11K Advanced Practice
  • MIPS-LOW 71.8/100
  • RX-TRACE 56
  • BOOK-THIN 12 in Wyoming
  • PHOTO-FINISH Karen Pistilli, CNM · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Ashley Engesser, CNM, IBCLC's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

72 ≥ 9th percentile 9% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

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

Where Ashley Engesser, CNM, IBCLC sits

This provider among advanced practice midwife peers

Across the 571 advanced practice midwife providers who report both Medicare Part D prescribing and a MIPS quality score, Ashley Engesser, CNM, IBCLC writes more Part D claims than 71% of them and scores higher on MIPS quality than 5% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Ashley Engesser, CNM, IBCLC, Part D claim volume, percentile in specialty: 71 · MIPS quality, percentile: 5
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one advanced practice midwife peer from a representative sample of 60; the gold marker is Ashley Engesser, CNM, IBCLC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Ashley Engesser, CNM, IBCLC?

Below national average

NPI registry status

Active

Issued 04/08/2019

NPI 1508329582

Primary specialty

Advanced Practice Midwife

Mid-sized

11,199 US NPIs in this specialty

Medicare Part D claims

56 44% vs specialty avg

2024 prescription claims

Specialty avg: 100

MIPS final score

71.8/100 11.7 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Wyoming

How Advanced Practice Midwife compares to other specialties among Wyoming providers

Wyoming providers
Community Health Worker10.4%Case Manager/Care Coordinator10.4%Clinical Social Worker5.5%Physical Therapist4.9%Pharmacist4.6%Professional Counselor3.6%Advanced Practice Midwife0.1%
Largest specialties in Wyoming (% of in-state providers)

Medicare quality performance, MIPS

Ashley Engesser, CNM, IBCLC's 2023 MIPS final score plotted against the Advanced Practice Midwife national average

Below national average
MIPS Final Score
71.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%71.8%
MIPS final score (Advanced Practice Midwife) - 71.8/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

777 AVENUE H
Powell, WY 82435
(307) 754-2267

Provider Details

NPI 1508329582
Specialty Advanced Practice Midwife
Credentials CNM, IBCLC
Gender Female
NPI Issued 04/08/2019

CMS Quality Score (MIPS)

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

71.7793
Final Score
Measured-score avg: 83.5
77.3079
Quality
28.623
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Ashley Engesser, CNM, IBCLC 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.

Powell Valley Health Care Inc
Powell, WY

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

56
Total Claims
$2K
Total Drug Cost
16
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
163.733
Total Day Supply
4,822
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
0.47
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Estradiol
 23
Escitalopram Oxalate
 11

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

More Advanced Practice Midwife in WY → All providers in Wyoming → Compare specialties →

Advanced Practice Midwife Overview

How Ashley Engesser, CNM, IBCLC fits within the Advanced Practice Midwife landscape nationally.

11,199
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
100
Avg Claims per Provider

Ashley Engesser, CNM, IBCLC's 56 claims are below the specialty average of 100.

Nationwide Advanced Practice Midwife peers with similar MIPS or enrollment year

Two federal-record peer sets for Engesser, both outside Wyoming so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (71.8 here).

Jennifer Whalen 71.8 CO Karen Pistilli 71.8 PA Sharon Wachob 71.8 PA Patricia Heinrich 71.9 GA

Same NPPES enumeration year (2019)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Micki Sund Phoenix, AZ Clarissa Christensen Las Vegas, NV Candice Boddy Lakewood, OH Sarah Miles Chicago, IL

Nearby Advanced Practice Midwife Providers in Wyoming

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

One of 12 Advanced Practice Midwife providers enrolled in Wyoming, 5 are shown here.

Bridgette Baker
RNC, CNM, WHNP-C
Sheridan, WY
Sharae Bischoff
APRN, CNM
Powell, WY
Kayla Kauffman
CNM
Cheyenne, WY
Starla Leete
APRN, CNM
Rock Springs, WY
Sandra Lerch
C FNP CNM
Jackson, WY

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

Frequently Asked Questions

What is Ashley Engesser, CNM, IBCLC's specialty? ▼
Ashley Engesser, CNM, IBCLC specializes in Advanced Practice Midwife and practices in Powell, Wyoming. Credentials: CNM, IBCLC.
How much does Ashley Engesser, CNM, IBCLC prescribe under Medicare Part D? ▼
In 2024, Ashley Engesser, CNM, IBCLC wrote 56 Medicare Part D claims totaling $2K in drug costs for 16 beneficiaries.
What is Ashley Engesser, CNM, IBCLC's Medicare quality score? ▼
Ashley Engesser, CNM, IBCLC has a CMS MIPS Final Score of 71.8/100 (Quality: 77.3, Cost: 28.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ashley Engesser, CNM, IBCLC located? ▼
Ashley Engesser, CNM, IBCLC is located at 777 AVENUE H, Powell, WY, 82435. Phone: (307) 754-2267.
What is Ashley Engesser, CNM, IBCLC's NPI number? ▼
Ashley Engesser, CNM, IBCLC's National Provider Identifier (NPI) is 1508329582, issued on 04/08/2019.
How many Advanced Practice Midwife providers are there in the US? ▼
There are 11,199 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 100 Medicare Part D claims per year.
What drugs does Ashley Engesser, CNM, IBCLC prescribe most often? ▼
Based on 2024 Medicare Part D data, Ashley Engesser, CNM, IBCLC's most frequently prescribed drugs include Estradiol, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ashley Engesser, CNM, IBCLC accept Medicare? ▼
Ashley Engesser, CNM, IBCLC appears in CMS Medicare data with 56 Part D claims and 16 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ashley Engesser, CNM, IBCLC's credentials? ▼
Ashley Engesser, CNM, IBCLC's NPI is 1508329582 with credentials CNM, IBCLC. 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.