SAMANTHA BOUDREAU FNP
NPI 1619859998
Nurse Practitioner - Family in Swanton, VT
About Samantha Boudreau Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA BOUDREAU FNP (NPI 1619859998) is an individual family provider in Swanton, Vermont, licensed in Vermont (101.0138092) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medical Center Inc, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Boudreau Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Medical Center Inc
Acute Care Hospitals · Saint Albans, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05488 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Boudreau's NPI number?
The NPI number for Samantha Boudreau is 1619859998. It was assigned to this individual provider in the NPPES registry on July 25, 2025.
Where is Samantha Boudreau located?
Samantha Boudreau practices at 26 Canada St, Swanton, VT 05488. The listed phone number is (802) 868-2454.
What is Samantha Boudreau's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Boudreau enrolled in Medicare?
Yes. Samantha Boudreau is registered in the Medicare PECOS enrollment system.
Is Samantha Boudreau affiliated with any hospitals?
According to CMS data, Samantha Boudreau is affiliated with Northwestern Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Samantha Boudreau was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 Boudreau, FNP · NPI 1619859998
Family physician in Swanton, Vermont. Individual provider, active in the CMS NPPES registry since July 25, 2025.
## Identity
- **NPI:** 1619859998 (Entity type: Individual)
- **Enumerated:** July 25, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 101.0138092 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 26 CANADA ST, Swanton, VT 05488-1335
- **Phone:** (802) 868-2454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619859998) · Data from the CMS NPPES public registry.