Sandra Theresa Lerch, C FNP CNM
NPI 1578503850ActiveIndividual· Advanced Practice Midwife· Jackson, WY
Advanced Practice Midwife (C FNP CNM) in Jackson, Wyoming, licensed in WY, with an NPI issued in June 2006. In 2024 Medicare paid $41,094 for 225 patients, and Part D covered 712 of their prescriptions, 88% of them generic. Abbvie Inc. was the largest of 2 companies reporting payments in 2025, $106.82 in all, mostly food and beverage. Lists Eastern Idaho Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1578503850 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | C FNP CNM |
| Sole proprietor | Yes |
| NPI issued | Jun 7, 2006 |
| Last updated in NPPES | Oct 31, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | WY180540164 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ID); Practitioner - Nurse Practitioner (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 225 |
|---|---|
| Services billed | 613 across 20 procedure codes |
| Paid by Medicare | $41,094 |
Part D prescriptions in 2024
| Prescriptions (claims) | 712 · 1,680 30-day fills |
|---|---|
| Patients | 125 |
| Total drug cost | $30,922 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Hospital affiliations
- Eastern Idaho Regional Medical CenterIdaho Falls, ID
- St Johns Medical CenterJackson, WY
- Teton Valley HospitalDriggs, ID
Industry payments (Open Payments)
- 2025$106.82 · 4 payments from 2 companies
- 2024$43.30 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $87.85 | 3 |
| Pfizer Inc. | $18.97 | 1 |
What the 2025 payments were for
- Food and Beverage$106.82 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records