NPI registry status
Active
2026 NPPES data Advanced Practice Midwife NPI 1508329582 CNM, IBCLC
Verify on CMS → 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 10,893 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
47
Medicare Part D claims · 17 beneficiaries · Advanced Practice Midwife avg: 99
MIPS score
71.8/100
▼ 11 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ashley Engesser, CNM, IBCLC reported a CMS MIPS final score of 71.8/100 - below the 83.1 national average - and filed 47 Medicare Part D claims in 2023.
- 71.8/100
- MIPS score · -11 vs avg
- 47
- Part D claims, 2023
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.
Ashley Engesser, CNM, IBCLC's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
72 9th percentile higher than 9% of 477,587 scored providers
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
Where Ashley Engesser, CNM, IBCLC sits
This provider among advanced practice midwife peers
Across the 572 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 64% 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.
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 averagePrimary specialty
Advanced Practice Midwife
Medicare Part D claims
47 53% vs specialty avg
MIPS final score
71.8/100 11.3 pts vs avg
Specialty distribution in Wyoming
How Advanced Practice Midwife compares to other specialties among Wyoming providers
Medicare quality performance, MIPS
Ashley Engesser, CNM, IBCLC's 2023 MIPS final score plotted against the Advanced Practice Midwife national average
- MIPS Final Score
- 71.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Advanced Practice Midwife) - 71.8/100 vs national avg 83.1
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).
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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 71.8/100 for the 2023 performance year (Quality 77.3, Cost 28.6), 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
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
Avg: 83.1
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 2023.
47
Total Claims
$3K
Total Drug Cost
17
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 140
- Total Day Supply
- 4,184
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 0.43
- Gender Split
- 100% female / 0% male
- Age Distribution
- <65: 0, 65-74: 13, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Estradiol | 18 |
* 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 Ashley Engesser, CNM, IBCLC 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
Ashley Engesser, CNM, IBCLC's 47 claims are below the specialty average of 99.
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.
Dr. Bridgette Baker
RNC, CNM, WHNP-C
Sheridan, WY
Dr. Sharae Bischoff
APRN, CNM
Powell, WY
Dr. Kayla Kauffman
CNM
Cheyenne, WY
Dr. Starla Leete
APRN, CNM
Rock Springs, WY
Dr. Sandra Lerch
C FNP CNM
Jackson, WY
Compare Advanced Practice Midwife nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Wyoming medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Advanced Practice Midwife peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 2023, Ashley Engesser, CNM, IBCLC wrote 47 Medicare Part D claims totaling $3K in drug costs for 17 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 national average MIPS Final Score is 83.1. 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 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 Ashley Engesser, CNM, IBCLC prescribe most often? ▼
Based on 2023 Medicare Part D data, Ashley Engesser, CNM, IBCLC's most frequently prescribed drugs include Estradiol. 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 47 Part D claims and 17 Medicare beneficiaries in 2023. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.