Individual provider Active NPI

Marjorie Clare Meyer, M.D.

  • Maternal & Fetal Medicine Physician
  • Burlington, VT
National Provider Identifier
1639104417
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
0420007765 Issued in VT
Practice address
111 Colchester Ave
Smith 419 Mfu/Fahc OB/GYN
Burlington, VT 05401-1473
Phone
(802) 847-5066
Fax
(802) 847-2360
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 273277 NY
Obstetrics & Gynecology Physician 207V00000X 0420007765 VT
Maternal & Fetal Medicine Physician 207VM0101X 0420007765 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Smith 419 Mfu/Fahc OB/GYN
Burlington, VT 05401-1473

Mailing address

28 Old Cross Rd
South Burlington, VT 05403-8100
Phone (802) 658-1866

Other practice location 1

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4430

Other identifiers 2

IdentifierTypeStateIssuer
01092828MedicaidNY
0009261MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080816000019 VT Practitioner - Obstetrics/Gynecology 9234204843 Reassigns benefits to 1 organization
I20240709000109 NY Practitioner - Obstetrics/Gynecology 9234204843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

130 Fisher Rd
Central Vermont
Barre, VT 05602-8132
Phone (802) 371-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420007765VTMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Current Accepting new patients
Alice Hyde Medical Center Obstetrics & Gynecology CurrentSince May 13, 2024 Accepting new patients
University of Vermont Medical Center Inc Obstetrics & Gynecology CurrentSince May 12, 1988 Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince May 13, 2024 Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
University of Vermont Medical Center Inc Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

206 Cornelia St
Ste 105
Plattsburgh, NY 12901
Phone (518) 314-3511

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

111 Colchester Ave
#419
Burlington, VT 05401
Phone (802) 847-5066

111 Colchester Ave
Fl 4
Burlington, VT 05401
Phone (802) 847-1400

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

160 Allen St
Rutland, VT 05701

Interoperability endpoints

  • Direct secure messaging: mmeyer3757@direct.uvmhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1639104417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 OLD CROSS RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054038100",
            "telephone_number": "802-658-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "SMITH 419 MFU/FAHC OB/GYN",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-5066",
            "fax_number": "802-847-2360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Porter Dr",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "VT",
            "postal_code": "057538423",
            "country_code": "US",
            "telephone_number": "802-388-4430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MARJORIE",
        "middle_name": "CLARE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "273277",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VT",
            "license": "0420007765",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "VT",
            "license": "0420007765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01092828",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009261",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.