SAMANTHA BONDARYK PMHNP-BC
NPI 1508310608
Nurse Practitioner - Psychiatric/Mental Health in Pembroke, MA
About Samantha Bondaryk Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA BONDARYK PMHNP-BC (NPI 1508310608) is an individual psychiatric/mental health provider in Pembroke, Massachusetts, licensed in Massachusetts (RN2280972) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Samantha Bondaryk Pmhnp-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 Reassignments
2Medicare enrollment records show Samantha Bondaryk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pembroke, MA 02359
- Reassigned Medicare billing, Massachusetts enrollment
- 7 clinicians in this Medicare group
Springfield, VT 05156
- Reassigned Medicare billing, Vermont enrollment
- 72 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 02359 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.
PEMBROKE, MA 02359
PEMBROKE, MA 02359
PEMBROKE, MA 02359
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 Bondaryk's NPI number?
The NPI number for Samantha Bondaryk is 1508310608. It was assigned to this individual provider in the NPPES registry on August 8, 2016.
Where is Samantha Bondaryk located?
Samantha Bondaryk practices at 28 Riverside Dr Ste 260, Pembroke, MA 02359. The listed phone number is (781) 427-7070.
What is Samantha Bondaryk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samantha Bondaryk enrolled in Medicare?
Yes. Samantha Bondaryk 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 organizations bill Medicare for Samantha Bondaryk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Bondaryk reassigns Medicare benefits to 2 organizations: Lighthouse Mental Wellness PLLC (Pembroke, MA) and Springfield Medical Care Systems Inc. (Springfield, VT). Each 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 Bondaryk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Bondaryk accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Samantha Bondaryk 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 Bondaryk was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Samantha Bondaryk, PMHNP-BC · NPI 1508310608
Psychiatric/Mental Health physician in Pembroke, Massachusetts. Individual provider, active in the CMS NPPES registry since August 8, 2016.
## Identity
- **NPI:** 1508310608 (Entity type: Individual)
- **Enumerated:** August 8, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN2280972 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 28 RIVERSIDE DR STE 260, Pembroke, MA 02359-4947
- **Phone:** (781) 427-7070
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Lighthouse Mental Wellness PLLC (NPI 1821564790, Pembroke, MA); Springfield Medical Care Systems Inc. (NPI 1730336843, Springfield, VT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508310608) · Data from the CMS NPPES public registry.