ANGELA MASSONI-BLAINE
NPI 1043649908
Nurse Practitioner - Adult Health in Portland, OR

Active since November 01, 2013PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
2222 NW LOVEJOY ST, PORTLAND, OR 97210(503) 413-8036 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angela Massoni-blaine NPPES

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

ANGELA MASSONI-BLAINE (NPI 1043649908) is an individual adult health provider in Portland, Oregon, licensed in Oregon (201910414NP-PP) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1043649908
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameANGELA MASSONI-BLAINE
Location Address2222 NW LOVEJOY STPortland, OR 97210-3033
Mailing Address2222 Nw Lovejoy StPortland, OR 97210-3033 · (503) 413-8036
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 1, 2013
Last NPPES UpdateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
NPI 1043649908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in OR · 201910414NP-PP Licensed in CA · 23638
2222 NW LOVEJOY ST, Portland, OR 97210

Secondary Practice Location 1

Location 11220 12th St SE, Ste 120Washington, DC 20003-3722 · Phone (202) 715-7900

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

Angela Massoni-blaine 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 ID9234361825
PECOS Enrollment IDI20200414003476
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

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.

Internal Medicine
2222 NW LOVEJOY ST, STE 505
PORTLAND, OR 97210
Internal Medicine (Cardiovascular Disease)
2222 NW LOVEJOY ST, STE. 606
PORTLAND, OR 97210
Internal Medicine (Interventional Cardiology)
2222 NW LOVEJOY ST, SUITE 606
PORTLAND, OR 97210
Otolaryngology
2222 NW LOVEJOY ST, SUITE #622
PORTLAND, OR 97210
Otolaryngology
2222 NW LOVEJOY ST, SUITE #622
PORTLAND, OR 97210
Internal Medicine (Cardiovascular Disease)
2222 NW LOVEJOY ST, SUITE 512
PORTLAND, OR 97210
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2222 NW LOVEJOY ST, SUITE 315
PORTLAND, OR 97210
Otolaryngology
2222 NW LOVEJOY ST, SUITE #622
PORTLAND, OR 97210

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 Angela Massoni-blaine's NPI number?

The NPI number for Angela Massoni-blaine is 1043649908. It was assigned to this individual provider in the NPPES registry on November 1, 2013.

Where is Angela Massoni-blaine located?

Angela Massoni-blaine practices at 2222 NW Lovejoy St, Portland, OR 97210. The listed phone number is (503) 413-8036.

What is Angela Massoni-blaine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Angela Massoni-blaine enrolled in Medicare?

Yes. Angela Massoni-blaine 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 Angela Massoni-blaine affiliated with any hospitals?

According to CMS data, Angela Massoni-blaine is affiliated with Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Angela Massoni-blaine was last updated on August 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.