SAMANTHA O'SULLIVAN COONEY – Family Nurse Practitioner, NPI 1891288486
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
721 NURSE PRACTITIONER in VT
Provider Addresses for SAMANTHA O'SULLIVAN COONEY
133 Fairfield St
Saint Albans, VT 054781726
Phone: (802) 524-8911
Type: Location
57 JERICHO RD
ESSEX JUNCTION, VT 054522744
Phone: (802) 881-4087
Type: Mailing
927 Ethan Allen Hwy
Milton, VT 054689746
Phone: (802) 524-8911
Type: Location
Northwestern Medical Center, 133, Fairfield Street, Saint Albans, Franklin County, Vermont, 05478, United States
SAINT ALBANS, VT 054781726
Phone: (802) 524-8911
Type: Location
600 BLAIR PARK RD STE 285
WILLISTON, VT 054957586
Phone: (802) 288-1140
Fax: (802) 288-1144
Type: Mailing
84 WATER TOWER RD # 1
ENOSBURG FALLS, VT 054506097
Phone: (802) 933-6664
Fax: (802) 933-8333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Kerecis Limited ($113).
Total Amount
$113
General + Research + Ownership
Payments
2
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $113 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180912001509 | I | Nurse Practitioner | VT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 41 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 58 | 40 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 36 | 36 | $0 |
| 83036 | Hemoglobin a1c level | 26 | 14 | $0 |
Insurance plans in this area (ZIP 05478)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| Nurse Practitioner | NY | |
| Family Practice | VT | |
| Nurse Practitioner | VT | |
| - | VT | |
| Pediatric Medicine | VT | |
| Nurse Practitioner | VT | |
| Family Practice | VT | |
| - | VT | |
| Nurse Practitioner | NJ |
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