Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Kate Needleman

Individual provider Surgical Physician Assistant · NPI 1104714237

Marissa Kate Needleman is a Physician Assistant in Saint Albans, Vermont. Qualified in 2025, 1 year ago. Practices with Northwestern Medical Center Inc, a 106-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
1
Licensed in
VT
In the registry since
2025

Practice location Address checks out

133 Fairfield St
Saint Albans, VT 05478-1726
Phone: (892) 524-1232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0550031821 (VT)

Record details

NPI number1104714237
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address165 Sheldon Woods Rd, Sheldon, VT 05483-8315

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northwestern Medical Center Inc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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