NPIMap

Individual provider Active NPI

Ashley Dee Engesser, CNM, IBCLC

  • Advanced Practice Midwife
  • Powell, WY
National Provider Identifier
1508329582
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NUR-APRN-LIC-144347 Issued in MT
Practice address
777 Avenue H
Powell, WY 82435-2260
Phone
(307) 754-2267
NPI assigned
Apr 8, 2019
Last updated
Oct 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NUR-APRN-LIC-144347 MT Primary

Addresses

Primary practice location

777 Avenue H
Powell, WY 82435-2260

Mailing address

777 Avenue H
Powell, WY 82435-2260
Phone (307) 754-2267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191010001719 WY Practitioner - Certified Nurse Midwife (CNM) 8022349703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powell Valley Healthcare IncGroup PAC ID 5092798561, shared by 5 NPIs, 31 clinicians

Practice addresses (Care Compare)

450 Mountain View
Powell, WY 82435-2212
Phone (307) 754-7257

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.68
Promoting interoperability
100
Improvement activities
40
Cost
70.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-144347MTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Valley Health Care Inc CurrentSince Aug 1, 2019 Accepting new patients
Powell Valley Healthcare Inc CurrentSince Aug 1, 2019 Accepting new patients

Locations

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

450 Mountain View St
Bldg C
Powell, WY 82435
Phone (307) 254-0661

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1508329582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 AVENUE H",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352260",
            "telephone_number": "307-754-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGESSER",
        "first_name": "ASHLEY",
        "middle_name": "DEE",
        "credential": "CNM, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MT",
            "license": "NUR-APRN-LIC-144347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

Verify at the official NPI Registry.