SAMANTHA BURGOS LCSW, PMHNP-BC
NPI 1215464052
Nurse Practitioner - Psychiatric/Mental Health in Wethersfield, CT

Active since May 11, 2017PECOS Enrolled
433 SILAS DEANE HWY, WETHERSFIELD, CT 06109(860) 837-0300 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Jul 22, 2020, Nov 13, 2019 and 2 more (5 updates tracked since 2017).

About Samantha Burgos Lcsw, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA BURGOS LCSW, PMHNP-BC (NPI 1215464052) is an individual psychiatric/mental health provider in Wethersfield, Connecticut, licensed in Connecticut (016564) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1215464052
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA BURGOSCredential: LCSW, PMHNP-BC
Location Address433 SILAS DEANE HWYWethersfield, CT 06109-2123
Mailing Address433 Silas Deane HwyWethersfield, CT 06109-2123 · (860) 837-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 11, 2017
Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
NPI 1215464052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CT · 016564
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 010825 (CT)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 216119 (CT)
433 SILAS DEANE HWY, Wethersfield, CT 06109

Secondary Practice Locations 2

Location 11680 Albany AveHartford, CT 06105-1001 · Phone (860) 236-4511
Location 2326 Washington StNorwich, CT 06360-2740 · Phone (860) 823-6321

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Burgos Lcsw, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567882723
PECOS Enrollment IDI20260324003000
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Marriage & Family Therapist
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Psychologist
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Counselor (Professional)
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Social Worker
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Counselor (Mental Health)
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Social Worker
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Counselor (Professional)
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Burgos's NPI number?

The NPI number for Samantha Burgos is 1215464052. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Samantha Burgos located?

Samantha Burgos practices at 433 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 837-0300.

What is Samantha Burgos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Burgos enrolled in Medicare?

Yes. Samantha Burgos is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Burgos accept?

Health plans from Providence Health Plan list Samantha Burgos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Burgos was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.