NPI registry status
Active
2026 NPPES data Advanced Practice Midwife NPI 1396083069 APRN, CNM
Verify on CMS → Heather Brigance, APRN, CNM
Advanced Practice Midwife in New Haven, Connecticut.
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
57
Medicare Part D claims · 22 beneficiaries · Advanced Practice Midwife avg: 99
MIPS score
73.6/100
▼ 10 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Heather Brigance, APRN, CNM reported a CMS MIPS final score of 73.6/100 - below the 83.1 national average - and filed 57 Medicare Part D claims in 2023.
- 73.6/100
- MIPS score · -10 vs avg
- 57
- 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.
Heather Brigance, APRN, CNM's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
74 11th percentile higher than 11% 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 Heather Brigance, APRN, CNM 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, Heather Brigance, APRN, CNM writes more Part D claims than 72% of them and scores higher on MIPS quality than 8% - 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 Heather Brigance, APRN, CNM. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Heather Brigance, APRN, CNM?
Below national averagePrimary specialty
Advanced Practice Midwife
Medicare Part D claims
57 42% vs specialty avg
MIPS final score
73.6/100 9.5 pts vs avg
Specialty distribution in Connecticut
How Advanced Practice Midwife compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
Heather Brigance, APRN, CNM's 2023 MIPS final score plotted against the Advanced Practice Midwife national average
- MIPS Final Score
- 73.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Advanced Practice Midwife) - 73.6/100 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).
Heather Brigance, APRN, CNM appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding APRN, CNM credentials at 200 ORCHARD ST, New Haven, CT, 06511, with a listed phone of (203) 789-3029. NPI 1396083069 was issued on 01/30/2013.
Medicare Part D records for calendar year 2023 show 57 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $3K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.6/100 for the 2023 performance year (Quality 75.8, Cost 51.4), 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 | 1396083069 |
|---|---|
| Specialty | Advanced Practice Midwife |
| Credentials | APRN, CNM |
| Gender | Female |
| NPI Issued | 01/30/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.5637
Final Score
Avg: 83.1
75.8435
Quality
51.4318
Cost
74
Promoting Interoperability
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
57
Total Claims
$3K
Total Drug Cost
22
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 84
- Total Day Supply
- 2,129
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 50.3 years
- Avg HCC Risk Score
- 0.97
- Gender Split
- 100% female / 0% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Zafemy Norelgestromin/Ethin.Estradiol | 12 |
* 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 Heather Brigance, APRN, 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
Heather Brigance, APRN, CNM's 57 claims are below the specialty average of 99.
Nearby Advanced Practice Midwife Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Brigance.
Dr. Amanda Abbott
CNM
New Haven, CT
Dr. Jennifer Ahimsa
CNM
Hartford, CT
Dr. Jennifer Aiken
CNM
Danbury, CT
Dr. Melanie Albright
C.N.M.
Trumbull, CT
Dr. Laura Alsen Piscioneri
CNM
Manchester, CT
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 Connecticut 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 Heather Brigance, APRN, CNM's specialty? ▼
Heather Brigance, APRN, CNM specializes in Advanced Practice Midwife and practices in New Haven, Connecticut. Credentials: APRN, CNM.
How much does Heather Brigance, APRN, CNM prescribe under Medicare Part D? ▼
In 2023, Heather Brigance, APRN, CNM wrote 57 Medicare Part D claims totaling $3K in drug costs for 22 beneficiaries.
What is Heather Brigance, APRN, CNM's Medicare quality score? ▼
Heather Brigance, APRN, CNM has a CMS MIPS Final Score of 73.6/100 (Quality: 75.8, Cost: 51.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Heather Brigance, APRN, CNM located? ▼
Heather Brigance, APRN, CNM is located at 200 ORCHARD ST, New Haven, CT, 06511. Phone: (203) 789-3029.
What is Heather Brigance, APRN, CNM's NPI number? ▼
Heather Brigance, APRN, CNM's National Provider Identifier (NPI) is 1396083069, issued on 01/30/2013.
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 Heather Brigance, APRN, CNM prescribe most often? ▼
Based on 2023 Medicare Part D data, Heather Brigance, APRN, CNM's most frequently prescribed drugs include Zafemy. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Heather Brigance, APRN, CNM accept Medicare? ▼
Heather Brigance, APRN, CNM appears in CMS Medicare data with 57 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Heather Brigance, APRN, CNM's credentials? ▼
Heather Brigance, APRN, CNM's NPI is 1396083069 with credentials APRN, 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
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.