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SAMANTHA O'SULLIVAN COONEY
NPI 1891288486
Nurse Practitioner - Family in Enosburg Falls, VT

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment
84 WATER TOWER RD # 1, ENOSBURG FALLS, VT 05450(802) 933-6664(802) 933-8333 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samantha O'sullivan Cooney NPPES

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

SAMANTHA O'SULLIVAN COONEY (NPI 1891288486) is an individual family provider in Enosburg Falls, Vermont, licensed in Vermont (101.0134162) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891288486
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA O'SULLIVAN COONEY
Location Address84 WATER TOWER RD # 1Enosburg Falls, VT 05450-6097
Mailing Address600 Blair Park Rd Ste 285Williston, VT 05495-7586 · (802) 288-1140 · Fax (802) 288-1144
Phone(802) 933-6664
Fax(802) 933-8333
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 8, 2018
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1891288486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VT · 101.0134162
84 WATER TOWER RD # 1, Enosburg Falls, VT 05450
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1927 Ethan Allen HwyMilton, VT 05468-9746 · Phone (802) 524-8911
Location 2133 Fairfield StSaint Albans, VT 05478-1726 · Phone (802) 524-8911

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 O'sullivan Cooney 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 ID8820348865
PECOS Enrollment IDI20180912001509
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Cooney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwestern Medical Center, Inc.
15 mi
General Acute Care Hospital
133 FAIRFIELD ST
Saint Albans, VT 05478
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1003574740 (Vermont)
  • 184 clinicians in this Medicare group
NPI 1538293469 (802) 524-5911
Primary Care Health Partners - Vermont LLP
35 mi
Family Medicine
600 BLAIR PARK RD STE 285
Williston, VT 05495
  • Reassigned Medicare billing, Vermont enrollment
  • 53 clinicians in this Medicare group
NPI 1285687616 (802) 288-1140

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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
137 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
49 services35 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services14 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
32 services31 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
22 services19 patients

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, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05450 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$82.71 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$32.22 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims1,259 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Cooney's NPI number?

The NPI number for Samantha Cooney is 1891288486. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Samantha Cooney located?

Samantha Cooney practices at 84 Water Tower Rd # 1, Enosburg Falls, VT 05450. The listed phone number is (802) 933-6664.

What is Samantha Cooney's specialty?

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

Is Samantha Cooney enrolled in Medicare?

Yes. Samantha Cooney 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 Cooney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Cooney reassigns Medicare benefits to 2 organizations: Northwestern Medical Center, Inc. (Saint Albans, VT) and Primary Care Health Partners - Vermont LLP (Williston, 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 Cooney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samantha Cooney affiliated with any hospitals?

According to CMS data, Samantha Cooney is affiliated with Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Samantha Cooney was last updated on June 30, 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.