2026 NPPES data Advanced Practice Midwife NPI 1578503850 C FNP CNM
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SANDRA LERCH, C FNP CNM

Advanced Practice Midwife in JACKSON, Wyoming. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
853
Medicare Part D claims · 151 beneficiaries · Advanced Practice Midwife avg: 99
Generic prescribing
85%
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)
What the federal data reveals: SANDRA LERCH, C FNP CNM is a Advanced Practice Midwife ([object Object]) practicing in JACKSON, Wyoming with a Medicare Part D prescribing footprint of 853 claims across 151 beneficiaries — 15% brand-name prescribing . Industry payments of $43.3 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SANDRA LERCH, C FNP CNM filed 853 Medicare Part D claims in 2023 across JACKSON, Wyoming. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SANDRA LERCH, C FNP CNM at a glance

Quality data not reported

NPI registry status

Active

Issued 06/07/2006

NPI 1578503850

Primary specialty

Advanced Practice Midwife

Mid-sized

10,893 US NPIs in this specialty

Medicare Part D claims

853 762% vs specialty avg

2023 prescription claims

Specialty avg: 99

Specialty distribution in Wyoming

How Advanced Practice Midwife compares to other specialties among Wyoming providers

Wyoming providers

Advanced Practice Midwife share within Wyoming

1. Advanced Practice Midwife42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Practice Midwife share within Wyoming

Specialty board-certification context

Estimated specialty board-certified rate — Advanced Practice Midwife (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Advanced Practice Midwife ABMS/AOA estimate

Est. board-certified rate (Advanced Practice Midwife) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Advanced Practice Midwife) — ABMS / AOA estimate

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 is a Advanced Practice Midwife provider practicing in JACKSON, Wyoming, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: C FNP CNM. NPI: 1578503850. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LERCH 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 853 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $64K in drug spend, split 15% brand-name and 85% generic by claim count. 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.

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

320 E BROADWAY
JACKSON, WY 83001

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%
Specialty average (est.)

15% brand-name claims vs 85% 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 / 85% 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.

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.

10,893
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.

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

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 85% generic drugs by claim count, with $46K in brand drug costs.
How many Advanced Practice Midwife providers are there in the US?
There are 10,893 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 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

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