Marjorie Nikki Gewirz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

055-0030993 Issued in VT

Practice address

217-10 Maxham Meadow Way Ste 3a
Woodstock, VT 05091-9795

Phone

(802) 324-1281

Fax

(844) 511-0927

NPI assigned

Jun 14, 2006

Last updated

Nov 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, VT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eon Care Clinicians PCGroup PAC ID 1052833951, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Eon Care Clinicians PC

  • Nurse Practitioner
  • Germantown, MD
  • NPI 1073332490

  VT

  Medicare reassignment Care Compare group NPD
• Gifford Medical Center Inc.

  • General Acute Care Hospital
  • Randolph, VT
  • NPI 1942329446
  Medicare reassignment NPD
• Porter Hospital, Inc

  dba Porter Medical Group

  • Family Medicine Physician
  • Middlebury, VT
  • NPI 1134457013
  Medicare reassignment NPD
• Woodstock Health Clinic PLLC

  • Physician Assistant
  • Woodstock, VT
  • NPI 1518820851
  NPD Authorized official
• Gifford Medical Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Randolph, VT
  • NPI 1013928068
  NPD
• Total Wellness Centers, LLC

  dba CleanSlate Centers

  • Addiction Medicine (Internal Medicine) Physician
  • West Springfield, MA
  • NPI 1770816506
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1720021918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217-10 MAXHAM MEADOW WAY STE 3A",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050919795",
            "telephone_number": "802-324-1281",
            "fax_number": "844-511-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217-10 MAXHAM MEADOW WAY STE 3A",
            "city": "WOODSTOCK",
            "state": "VT",
            "postal_code": "050919795",
            "telephone_number": "802-324-1281",
            "fax_number": "844-511-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEWIRZ",
        "first_name": "MARJORIE",
        "middle_name": "NIKKI",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VT",
            "license": "055-0030993",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "0581",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055-0030993",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VT",
            "license": "055-0031029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Anna Fotiadis, DMD
• Judi Gail Friedman, PA-C
• Joshua Taylor Gale, D.C.
• Ryan B Gatchell, OTR
• Suzanne Marie Geno, M.A.C.P., L.A.D.C.
• Green Heron Psychotherapy PLLC
• Melinda Haas, LCSW
• Vicki Hamel
• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.
• Heart of the Greens PLLC

• Physician Assistant in Woodstock, VT
• Providers in Woodstock, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.