MARISSA KATE NEEDLEMAN
NPI 1104714237
Physician Assistant - Surgical in Saint Albans, VT

Active since June 26, 2025PECOS EnrolledAccepts Medicare Assignment
133 FAIRFIELD ST, SAINT ALBANS, VT 05478(892) 524-1232 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Kate Needleman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA KATE NEEDLEMAN (NPI 1104714237) is an individual surgical provider in Saint Albans, Vermont, licensed in Vermont (0550031821) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104714237
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARISSA KATE NEEDLEMAN
Location Address133 FAIRFIELD STSaint Albans, VT 05478-1726
Mailing Address165 Sheldon Woods RdSheldon, VT 05483-8315 · (802) 309-3345
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 26, 2025
NPPES CertifiedJune 26, 2025
NPI 1104714237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in VT · 0550031821
133 FAIRFIELD ST, Saint Albans, VT 05478

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marissa Kate Needleman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981109931
PECOS Enrollment IDI20250923000570
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Nurse Practitioner (Acute Care)
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Pediatrics
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Emergency Medicine
133 FAIRFIELD ST, NORTHWESTERN MEDICAL CENTER
SAINT ALBANS, VT 05478
Radiology (Diagnostic Radiology)
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Physical Therapist
133 FAIRFIELD ST
SAINT ALBANS, VT 05478
Radiology (Diagnostic Radiology)
133 FAIRFIELD ST
ST ALBANS, VT 05478
Obstetrics & Gynecology
133 FAIRFIELD ST
SAINT ALBANS, VT 05478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Needleman's NPI number?

The NPI number for Marissa Needleman is 1104714237. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Where is Marissa Needleman located?

Marissa Needleman practices at 133 Fairfield St, Saint Albans, VT 05478. The listed phone number is (892) 524-1232.

What is Marissa Needleman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Marissa Needleman enrolled in Medicare?

Yes. Marissa Needleman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Marissa Needleman affiliated with any hospitals?

According to CMS data, Marissa Needleman is affiliated with Univ. Of Vermont - Fletcher Allen Health Care and Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Marissa Needleman was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.