Active NPI 1578503850 Individual Practitioner Female Practitioner

Sandra Theresa Lerch , C FNP CNM

Advanced Practice Midwife • Jackson, WY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Sandra Lerch, C FNP CNM is a certified Advanced Practice Midwife practicing in Jackson, WY. With approximately 31 years of clinical experience since completing medical education in 1995, Sandra Lerch delivers high-quality medical care to the local community at 320 E BROADWAY.

Sandra Lerch accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

320 E Broadway
Ste 1c

Jackson, WY 83001

Telephone 3077334585

Fax 3077334787

Associated Practice Facility / Clinic

🏢 Theresa Lerch C Fnp Cnm Pc Facility NPI 1437335866

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Advanced Practice Midwife in Jackson, WY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 12.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Jackson, WY (16 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

46.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lerch (31 Years) 31 Yrs

Jackson Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	291	185	$215.00	$105.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	114	114	$120.00	$106.99
99213 Established patient office or other outpatient visit, typically 15 minutes	73	65	$155.00	$75.14
36415 Insertion of needle into vein for collection of blood sample	49	44	$35.00	$8.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	11	$60.00	$19.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	317	176	$215.00	$106.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$120.00	$107.68
99213 Established patient office or other outpatient visit, typically 15 minutes	91	72	$155.00	$75.58
36415 Insertion of needle into vein for collection of blood sample	55	38	$35.00	$8.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	12	$60.00	$19.54
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$150.00	$137.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	128	$215.00	$108.85
36415 Insertion of needle into vein for collection of blood sample	97	66	$35.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	83	69	$157.29	$77.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	72	72	$120.00	$110.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	17	$60.00	$19.79
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	16	16	$45.00	$33.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	110	$211.67	$110.86
36415 Insertion of needle into vein for collection of blood sample	94	70	$35.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	66	52	$151.74	$78.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$120.00	$112.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	18	$60.00	$19.52
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	23	23	$45.00	$33.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	84	$196.42	$91.33
36415 Insertion of needle into vein for collection of blood sample	73	54	$35.00	$2.99
99213 Established patient office or other outpatient visit, typically 15 minutes	68	48	$135.51	$62.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$120.00	$99.07
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	11	11	$45.00	$34.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	98	$192.00	$92.08
99213 Established patient office or other outpatient visit, typically 15 minutes	79	58	$133.04	$62.93
36415 Insertion of needle into vein for collection of blood sample	62	47	$35.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$120.00	$98.11
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	24	24	$45.00	$32.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	64	$175.37	$89.01
99213 Established patient office or other outpatient visit, typically 15 minutes	71	47	$122.39	$60.35
36415 Insertion of needle into vein for collection of blood sample	64	34	$35.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$120.00	$95.92
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	11	11	$45.00	$31.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	49	$120.00	$60.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	51	$170.00	$89.54
36415 Insertion of needle into vein for collection of blood sample	34	24	$35.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$120.00	$96.25
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	26	26	$45.00	$32.01

Medical Specialties & State Licenses

Advanced Practice Midwife Primary Specialty

NUCC Taxonomy Code: 367A00000X

State License WY WY180540164

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

11694100 (WY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Caitlin Shea , FNP-C

Nurse Practitioner - Family

NPI 1235681461

Family Nurse Practitioner (Certified)

Lori Bowdler , APRN-BC

Nurse Practitioner - Family

NPI 1659511764

APRNBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 31, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2016

Registered at 320 E BROADWAY, STE 1C, JACKSON, WY 83001 (Tel: 3077334585)

📍

Updated Business Mailing Address October 31, 2016

Registered at PO BOX 9487, JACKSON, WY 830029487 (Tel: 3077334585)

👤

Provider Name / Credentials Updated October 31, 2016

Recorded as SANDRA LERCH, C FNP CNM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2016

Advanced Practice Midwife (License #WY180540164 in WY)

🟢

Initial NPI Registration & Enumeration June 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578503850

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 07, 2006

Last Update: October 31, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 9487

Jackson, WY 830029487

Phone: 3077334585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.