NPI registry status
Active
2026 NPPES data Advanced Practice Midwife NPI 1578503850 C FNP CNM
Verify on CMS → Sandra Lerch, C FNP CNM
Advanced Practice Midwife in Jackson, 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 10,937 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
853
Medicare Part D claims · 151 beneficiaries · Advanced Practice Midwife avg: 99
Generic prescribing
83%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$43.3
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sandra Lerch, C FNP CNM filed 853 Medicare Part D claims in 2023 as a Advanced Practice Midwife in Jackson, Wyoming, prescribing 83% generic.
- 853
- Part D claims, 2023
- 83%
- generic prescribing
- $43.3
- industry payments (Sunshine Act)
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.
Sandra Lerch, C FNP CNM's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
853 Top 27% higher than 73% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Sandra Lerch, C FNP CNM?
Quality data not reportedPrimary specialty
Advanced Practice Midwife
Medicare Part D claims
853 9× vs specialty avg
Specialty distribution in Wyoming
How Advanced Practice Midwife compares to other specialties among Wyoming providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Advanced Practice Midwife. Verify directly:
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).
Sandra Lerch, C FNP CNM appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding C FNP CNM credentials at 320 E BROADWAY, Jackson, WY, 83001, with a listed phone of (307) 733-4585. NPI 1578503850 was issued on 06/07/2006.
Medicare Part D records for calendar year 2023 show 853 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $64K in drug spend, split 15% brand-name and 83% generic by claim count.
Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,937 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 | 1578503850 |
|---|---|
| Specialty | Advanced Practice Midwife |
| Credentials | C FNP CNM |
| Gender | Female |
| NPI Issued | 06/07/2006 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Sandra Lerch, C FNP CNM. Source: openpaymentsdata.cms.gov.
Total received
$43
Largest payer
Amgen Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Sandra Lerch, C FNP CNM - brand share 15.0%
Advanced Practice Midwife average
15% brand-name claims vs 83% generic, on 853 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.
853
Total Claims
$64K
Total Drug Cost
151
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,025
- Total Day Supply
- 58,878
- Brand vs Generic
- 15% brand / 83% generic
- Brand Drug Cost
- $46K
- Generic Drug Cost
- $17K
Patient Demographics
- Average Patient Age
- 70.7 years
- Avg HCC Risk Score
- 0.53
- Gender Split
- 89% female / 11% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sandra Lerch, C FNP CNM prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
121 claims
- Losartan Potassium 44
Losartan Potassium
44 claims
- Hydrochlorothiazide 34
Hydrochlorothiazide
34 claims
- Atorvastatin Calcium 33
Atorvastatin Calcium
33 claims
- Escitalopram Oxalate 32
Escitalopram Oxalate
32 claims
- Omeprazole 31
Omeprazole
31 claims
- Amlodipine Besylate 27
Amlodipine Besylate
27 claims
- Zolpidem Tartrate 25
Zolpidem Tartrate
25 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 121 |
| Losartan Potassium | 44 |
| Hydrochlorothiazide | 34 |
| Atorvastatin Calcium | 33 |
| Escitalopram Oxalate | 32 |
| Omeprazole | 31 |
| Amlodipine Besylate | 27 |
| Zolpidem Tartrate | 25 |
| Acyclovir | 23 |
| Estradiol | 23 |
* 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 Sandra Lerch, C FNP CNM fits within the Advanced Practice Midwife landscape nationally.
10,937
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
99
Avg Claims per Provider
Sandra Lerch, C FNP CNM's 853 claims are above 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 Lerch.
Dr. Bridgette Baker
RNC, CNM, WHNP-C
Sheridan, WY
Dr. Sharae Bischoff
APRN, CNM
Powell, WY
Dr. Ashley Engesser
CNM, IBCLC
Powell, WY
Dr. Kayla Kauffman
CNM
Cheyenne, WY
Dr. Starla Leete
APRN, CNM
Rock Springs, 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 Sandra Lerch, C FNP CNM's specialty? ▼
Sandra Lerch, C FNP CNM specializes in Advanced Practice Midwife and practices in Jackson, Wyoming. Credentials: C FNP CNM.
How much does Sandra Lerch, C FNP CNM prescribe under Medicare Part D? ▼
In 2023, Sandra Lerch, C FNP CNM wrote 853 Medicare Part D claims totaling $64K in drug costs for 151 beneficiaries.
Where is Sandra Lerch, C FNP CNM located? ▼
Sandra Lerch, C FNP CNM is located at 320 E BROADWAY, Jackson, WY, 83001. Phone: (307) 733-4585.
What is Sandra Lerch, C FNP CNM's NPI number? ▼
Sandra Lerch, C FNP CNM's National Provider Identifier (NPI) is 1578503850, issued on 06/07/2006.
Does Sandra Lerch, C FNP CNM prescribe more brand-name or generic drugs? ▼
Sandra Lerch, C FNP CNM's prescribing is 15% brand-name and 83% generic drugs by claim count, with $46K in brand drug costs.
How many Advanced Practice Midwife providers are there in the US? ▼
There are 10,937 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 Sandra Lerch, C FNP CNM prescribe most often? ▼
Based on 2023 Medicare Part D data, Sandra Lerch, C FNP CNM's most frequently prescribed drugs include Levothyroxine Sodium, Losartan Potassium, Hydrochlorothiazide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sandra Lerch, C FNP CNM accept Medicare? ▼
Sandra Lerch, C FNP CNM appears in CMS Medicare data with 853 Part D claims and 151 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sandra Lerch, C FNP CNM's credentials? ▼
Sandra Lerch, C FNP CNM's NPI is 1578503850 with credentials C FNP 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.
- 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.
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 May 2026.