MRS. SAMANTHA BURNHAM INGERICK NP
NPI 1457750234
Nurse Practitioner - Pediatrics in Manchester, VT
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 and maintains a secondary practice location in Windsor.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Samantha Burnham Ingerick Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Ingerick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Windsor, VT 05089
- Reassigned Medicare billing, Vermont enrollment
- 104 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
MANCHESTER, VT 05254
MANCHESTER, VT 05254
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.
Which organization bills Medicare for Samantha Ingerick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ingerick reassigns Medicare benefits to Windsor Hospital Corporation (Windsor, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Ingerick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Ingerick accept?
Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield 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 3 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.
# Mrs. Samantha Burnham Ingerick, NP · NPI 1457750234
Pediatrics physician in Manchester, Vermont. Individual provider, active in the CMS NPPES registry since August 18, 2014.
## Identity
- **NPI:** 1457750234 (Entity type: Individual)
- **Enumerated:** August 18, 2014
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 101.0134299 (Vermont)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4384 MAIN STREET, Manchester, VT 05254-9207
- **Phone:** (802) 768-9136 · **Fax:** (802) 662-2173
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Windsor Hospital Corporation (NPI 1841287984, Windsor, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1457750234) · Data from the CMS NPPES public registry.