MRS. ERIN KATHLEEN BAMBACK FNP
NPI 1528834983
Nurse Practitioner - Family in Vernon, CT

Active since November 28, 2023PECOS EnrolledAccepts Medicare Assignment
30 LAFAYETTE SQ STE 109, VERNON, CT 06066(800) 391-0599(980) 825-7196 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Erin Kathleen Bamback Fnp NPPES

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

MRS. ERIN KATHLEEN BAMBACK FNP (NPI 1528834983) is an individual family provider in Vernon, Connecticut, licensed in Connecticut (12298) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528834983
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ERIN KATHLEEN BAMBACKCredential: FNP
Location Address30 LAFAYETTE SQ STE 109Vernon, CT 06066-4554
Mailing Address36 Mamanasco RdRidgefield, CT 06877-2425 · (203) 837-0677
Fax(980) 825-7196
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 28, 2023
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
NPI 1528834983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CT · 12298 Licensed in NY · 352692
Also ListedRegistered NurseTaxonomy 163W00000X · License 135987 (CT), 722804 (NY)
30 LAFAYETTE SQ STE 109, Vernon, CT 06066

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Erin Kathleen Bamback Fnp 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.

PECOS PAC ID2365895950
PECOS Enrollment IDI20240131000579
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 06066 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 6

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

Nurse Practitioner (Family)
30 LAFAYETTE SQ STE 109
VERNON, CT 06066
Nurse Practitioner
30 LAFAYETTE SQ STE 109
VERNON ROCKVILLE, CT 06066
Nurse Practitioner (Gerontology)
30 LAFAYETTE SQ STE 109
VERNON ROCKVILLE, CT 06066
Nurse Practitioner (Primary Care)
30 LAFAYETTE SQ STE 109
VERNON, CT 06066
Nurse Practitioner (Adult Health)
30 LAFAYETTE SQ STE 109
VERNON, CT 06066
Family Medicine
30 LAFAYETTE SQ STE 109
VERNON ROCKVILLE, CT 06066

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 Erin Bamback's NPI number?

The NPI number for Erin Bamback is 1528834983. It was assigned to this individual provider in the NPPES registry on November 28, 2023.

Where is Erin Bamback located?

Erin Bamback practices at 30 Lafayette Sq Ste 109, Vernon, CT 06066. The listed phone number is (800) 391-0599.

What is Erin Bamback's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erin Bamback enrolled in Medicare?

Yes. Erin Bamback 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.

When was this NPI record last updated?

The NPPES record for Erin Bamback was last updated on August 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.