1. Home
  2. Directory
  3. Maine
  4. Portland
  5. Pediatrics
  6. NPI Profile

DR. LAURA L BLAISDELL MD/MPH
NPI 1063587343
Pediatrics in Portland, ME

Active since November 21, 2006PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2911 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laura L Blaisdell Md/mph NPPES

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

DR. LAURA L BLAISDELL MD/MPH (NPI 1063587343) is an individual pediatrics provider in Portland, Maine, licensed in Maine (017899) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063587343
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LAURA L BLAISDELLCredential: MD/MPH
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-2911
Phone(207) 662-2911
Sole ProprietorNo
Enumeration DateNovember 21, 2006
Last NPPES UpdateMarch 17, 2020
NPPES CertifiedMarch 17, 2020
✔ NPI 1063587343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in ME · 017899✔ Licensed in ME · EC-05-003
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
22 BRAMHALL ST, Portland, ME 04102
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Laura L Blaisdell Md/mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Laura Blaisdell's NPI number?

The NPI number for Laura Blaisdell is 1063587343. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Laura Blaisdell located?

Laura Blaisdell practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2911.

What is Laura Blaisdell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Laura Blaisdell enrolled in Medicare?

Yes. Laura Blaisdell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Blaisdell was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.