Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel M. Kippenberger, PA-C

Individual provider Physician Assistant · NPI 1003138181

Samuel M. Kippenberger, PA-C is a Physician Assistant in Springfield, Vermont. Qualified in 2009, 17 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
17
Licensed in
VT
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

25 Ridgewood Rd Esne/springfield Hospital Emergency Dept
Springfield, VT 05156-3050
Phone: (802) 885-7540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 055.0031092 (VT)

Record details

NPI number1003138181
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2010
Last updated in NPPESOctober 23, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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