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Midwife: how many are there, and how many are in private practice?

A midwife is a trained, independent practitioner who provides individualized care, education, counseling, and support to women and newborns through the childbearing cycle. Midwives may follow different education routes, and training and licensing requirements vary by state. This page summarizes active US NPI records classified as Midwife under NUCC taxonomy 176B00000X, in Other Service Providers, and shows their state distribution and NPPES sole-proprietor status.

National totals

Active NPI records6,761
Registered sole proprietors2,969 (43.9%)
NUCC taxonomy code176B00000X
GroupingOther Service Providers

What this specialty covers

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

Reading the sole-proprietor share

For this specialty, the 43.9% share means that 2,969 active Midwife NPI records are flagged as sole proprietors in NPPES. Because the flag is a self-reported NPPES field, it is an imperfect proxy for private practice and does not by itself show whether a midwife owns, operates, or works independently in a practice.

By state

StateActive NPIsSole proprietorsShare
California74941255.0%
Texas55533159.6%
New York52415028.6%
Florida41819045.5%
Washington37813134.7%
Pennsylvania2427531.0%
Oregon22411350.4%
Colorado1969146.4%
Virginia1907841.1%
Michigan1888545.2%
Arizona1739052.0%
Ohio1676035.9%
Minnesota1666539.2%
Utah1567246.2%
New Mexico1545435.1%
Massachusetts1545334.4%
Tennessee1436847.6%
Wisconsin1388561.6%
Idaho1347354.5%
New Jersey1283225.0%
Georgia1173731.6%
Maryland1102623.6%
North Carolina1033130.1%
Illinois913538.5%
Alaska912325.3%
Missouri895662.9%
South Carolina793949.4%
Maine683450.0%
Connecticut591322.0%
Montana563155.4%
Indiana542444.4%
Vermont522140.4%
Nevada513058.8%
New Hampshire492142.9%
Oklahoma483572.9%
Louisiana462452.2%
Kentucky452453.3%
Kansas422047.6%
Iowa411331.7%
West Virginia401435.0%
Arkansas402357.5%
Alabama312271.0%
Rhode Island29<11not reported
Hawaii271970.4%
Mississippi24<11not reported
District of Columbia17<11not reported
South Dakota17<11not reported
Delaware16<11not reported
Wyoming12<11not reported
Nebraska11<11not reported

New NPI registrations by year

Year first enumeratedNPIs
2017277
2018316
2019336
2020342
2021360
2022334
2023358
2024361
2025383
2026 (partial year)16

Counts reflect the year each NPI was first issued, among records still active today. The final year is partial: this data covers through 2026-01-11.

Data notes

Source: CMS National Plan and Provider Enumeration System (NPPES) Data Dissemination file, FOIA-disclosable public data under CMS-6060-N. Aggregated by Hero EMR on 2026-08-03; deactivated NPIs excluded; specialty assigned from the primary taxonomy code (NUCC 25.1). Counts below 11 are suppressed. Individual providers are never published. All provider data pages.

Common questions

How many midwives are there in the United States?

There are 6,761 active NPI records nationally with Midwife as the primary taxonomy. This is a count of records, not necessarily a count of distinct practicing people.

How many US midwives are in private practice?

NPPES flags 2,969 records, or 43.9%, as sole proprietors. This designation is not a direct count of midwives in private practice.

Which states have the most midwife NPI records?

California has 749, followed by Texas with 555, New York with 524, Florida with 418, and Washington with 378.

How many midwife NPI records were first enumerated in recent years?

Among the most recent full years available, 361 were first enumerated in 2024, 383 in 2025, and 16 in 2026. Enumeration timing is not a measure of current workforce growth.

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