Samantha Boudreau, FNP
Individual provider Active NPI Family Nurse Practitioner · Swanton, VT
NPI 1619859998 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1619859998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 101.0138092 (VT)
- Practice address
- 26 Canada St
Swanton, VT 05488-1335 - Phone
- (802) 868-2454
- NPI assigned
- Jul 25, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
- The Richford Health Center, Inc.
Practice addresses (Care Compare)
26 Canada St
Swanton, VT 05488-1335
Phone (802) 868-2454
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Northwestern Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250825002148 | VT | Practitioner - Nurse Practitioner | 6305346289 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101.0138092 | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Richford Health Center Inc | Current |
Accepting new patients | |
| The Richford Health Center Inc | Family Medicine | Current |
Accepting new patients |
| The Richford Health Center Inc | Family Medicine | Current | Accepting new patients |
| The Richford Health Center Inc | Past | Accepting new patients | |
| The Richford Health Center Inc | Family Medicine | Past | Accepting new patients |
Locations
44 Main St
Ste 200
Richford, VT 05476
Phone (802) 255-5500
26 Canada St
Swanton, VT 05488
Phone (800) 868-2454
Interoperability endpoints
- sboudreau@notch.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 101.0138092 | VT | Yes |
Addresses
Primary practice location
26 Canada St
Swanton, VT 05488-1335
Mailing address
26 Canada St
Swanton, VT 05488-1335
Phone (802) 868-2454
Other providers in Swanton, VT
- Francesca Albanese
- Verne L Backus
- Shaveta Bhargava
- Kevin Brown
- Jevin Carruth
- Michael J Corrigan
- Alexandra Darrow
- Patrick Dunn
All providers in Swanton, VT · Family Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.