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Counting Midwives Providing Clinical Care in Nevada
Jennifer Vanderlaan1, Janice Enriquez1, Melva Thompson-Robinson1
1University of Nevada, Las Vegas School of Nursing, Las Vegas, Nevada, USA.
Objective:
To estimate the number of midwives providing care primarily in Nevada.
Study Setting And Design:
A cross-sectional study of Nevada was conducted in May, 2024 to compare the agreement between two lists of midwives in Nevada. Midwives were considered as providing care primarily in Nevada if they (1) had an active licence with a Nevada address and (2) listed a Nevada practice site in their National Provider Identifier file.
Data Sources And Analytic Sample:
The sample of midwives associated with Nevada was created by combining (1) the State Board of Nursing list of nurse-midwife licensees and (2) the National Plan & Provider Enumeration System Data Dissemination file enumerates identified as advanced practice midwives with a Nevada licence or practice location in Nevada.
Principle Findings:
Only 55% of nurse-midwives with active Nevada licences are providing care full-time in Nevada.
Conclusions:
Nurse-midwife licensee lists may overstate the number of nurse-midwives practicing full-time in the state. States may consider nurse licence compacts with registration for telehealth or hub-and-spoke models of care to identify the extent to which out-of-state midwives are filling gaps in access to care.
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