1. Home
  2. Directory
  3. Vermont
  4. Manchester
  5. Nurse Practitioner
  6. NPI Profile

MRS. SAMANTHA BURNHAM INGERICK NP
NPI 1457750234
Nurse Practitioner - Pediatrics in Manchester, VT

Active since August 18, 2014PECOS Enrolled
4384 MAIN STREET, MANCHESTER, VT 05254(802) 768-9136(802) 662-2173 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2023, May 6, 2023, Jul 12, 2018 (3 updates tracked since 2018).

About Mrs. Samantha Burnham Ingerick Np NPPES

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

MRS. SAMANTHA BURNHAM INGERICK NP (NPI 1457750234) is an individual pediatrics provider in Manchester, Vermont, licensed in Vermont (101.0134299) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457750234
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. SAMANTHA BURNHAM INGERICKCredential: NP
Location Address4384 MAIN STREETManchester, VT 05254-9207
Mailing AddressPo Box 255Manchester, VT 05254-0255 · (802) 768-9136 · Fax (802) 662-2173
Phone(802) 768-9136
Fax(802) 662-2173
Sole ProprietorYes
Enumeration DateAugust 18, 2014
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1457750234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in VT · 101.0134299✔ Licensed in NY · F382385-1✔ Licensed in NH · 088196-23
4384 MAIN STREET, Manchester, VT 05254
Open in Google Maps ↗

Other Names 1

Former Name (1)Smantha Burnham

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.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)

Mrs. Samantha Burnham Ingerick Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 05254 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 3

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

DR. ADAM J PRUETT M.D.
Psychiatry & Neurology (Psychiatry)
4384 MAIN STREET
MANCHESTER, VT 05254
Bennington County (802) 768-9136
TACONIC INTEGRATIVE PSYCHIATRIC SERVICES, PLLC
Psychiatry & Neurology (Psychiatry)
4384 MAIN STREET
MANCHESTER, VT 05254
Bennington County (802) 768-9136
MR. DONALD HENRY GRENIER JR. MSN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4384 MAIN STREET
MANCHESTER, VT 05254
Bennington County (802) 768-9136

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 Ingerick's NPI number?

The NPI number for Samantha Ingerick is 1457750234. It was assigned to this individual provider in the NPPES registry on August 18, 2014. The provider is also known as Smantha Burnham.

Where is Samantha Ingerick located?

Samantha Ingerick practices at 4384 Main Street, Manchester, VT 05254. The listed phone number is (802) 768-9136.

What is Samantha Ingerick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Samantha Ingerick enrolled in Medicare?

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

What insurance does Samantha Ingerick accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Samantha Ingerick 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 Ingerick was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.