MS. SAMANTHA MARIE PASTERNAK AGPCNP-BC
NPI 1508140054
Nurse Practitioner in Rutland, VT
About Ms. Samantha Marie Pasternak Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SAMANTHA MARIE PASTERNAK AGPCNP-BC (NPI 1508140054) is an individual nurse practitioner in Rutland, Vermont, licensed in Vermont (101.0134612) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Samantha Marie Pasternak Agpcnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Pasternak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rutland, VT 05701
- Reassigned Medicare billing, Vermont enrollment
- 80 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rutland Regional Medical Center
Acute Care Hospitals · Rutland, VTPorter Hospital, Inc
Critical Access Hospitals · Middlebury, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05701 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RUTLAND, VT 05701
RUTLAND, VT 05701
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 Pasternak's NPI number?
The NPI number for Samantha Pasternak is 1508140054. It was assigned to this individual provider in the NPPES registry on October 3, 2011.
Where is Samantha Pasternak located?
Samantha Pasternak practices at 160 Allen St, Rutland, VT 05701. The listed phone number is (802) 768-1400.
What is Samantha Pasternak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Samantha Pasternak enrolled in Medicare?
Yes. Samantha Pasternak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samantha Pasternak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Pasternak reassigns Medicare benefits to Rutland Hospital, Inc. (Rutland, 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 Pasternak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Pasternak accept?
Health plans from Anthem Blue Cross and Blue Shield list Samantha Pasternak 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.
Is Samantha Pasternak affiliated with any hospitals?
According to CMS data, Samantha Pasternak is affiliated with Rutland Regional Medical Center and Porter Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Samantha Pasternak was last updated on July 19, 2024. 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.
# Ms. Samantha Marie Pasternak, AGPCNP-BC · NPI 1508140054
Nurse Practitioner physician in Rutland, Vermont. Individual provider, active in the CMS NPPES registry since October 3, 2011.
## Identity
- **NPI:** 1508140054 (Entity type: Individual)
- **Enumerated:** October 3, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 101.0134612 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 ALLEN ST, Rutland, VT 05701-4560
- **Phone:** (802) 768-1400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rutland Hospital, Inc. (NPI 1083678833, Rutland, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508140054) · Data from the CMS NPPES public registry.