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

Mr. Warren M Fenner, PA-C

Individual provider Physician Assistant · NPI 1063850915

Mr. Warren M Fenner, PA-C is a Physician Assistant in Springfield, Vermont. Qualified in 2012, 14 years ago. Practices with Gifford Medical Center Inc, a 55-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
14
Licensed in
VT
In the registry since
2013
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 Emergency Dept
Springfield, VT 05156-3050
Phone: (802) 885-2151
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 055-0031215 (VT)

Record details

NPI number1063850915
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2013
Last updated in NPPESAugust 12, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Gifford Medical Center Inc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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