1. Home
  2. Directory
  3. Maine
  4. Augusta
  5. Psychologist
  6. NPI Profile

JENNIFER BLOSSOM MS
NPI 1063947299
Psychologist - Clinical Child & Adolescent in Augusta, ME

Active since April 25, 2017PECOS Enrolled
6 E CHESTNUT ST, AUGUSTA, ME 04330(207) 623-2977(207) 623-9374 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Blossom Ms NPPES

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

JENNIFER BLOSSOM MS (NPI 1063947299) is an individual clinical child & adolescent provider in Augusta, Maine, licensed in Maine (PS2514) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063947299
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameJENNIFER BLOSSOMCredential: MS
Location Address6 E CHESTNUT STAugusta, ME 04330-5758
Mailing Address6 E Chestnut StAugusta, ME 04330-5758 · (207) 623-2977 · Fax (207) 623-9374
Phone(207) 623-2977
Fax(207) 623-9374
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 25, 2017
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1063947299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in ME · PS2514
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6 E CHESTNUT ST, Augusta, ME 04330
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Blossom Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466945423
PECOS Enrollment IDI20251208001267
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Blossom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainegeneral Medical Center
3.1 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. CAROL ANNE SAUNDERS MD
Pathology (Anatomic Pathology & Clinical Pathology)
6 E CHESTNUT ST, DEPT OF PATHOLOGY
AUGUSTA, ME 04330
Kennebec County (207) 626-1409
PAUL PLUMER PA-C
Physician Assistant
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1206
AJAYPAL SINGH PANESAR DDS
Dentist
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 623-3400
ELIZABETH CHESNUT APRN
Nurse Practitioner
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-7400
MRS. CALLI A LOMBARDI PA-C
Physician Assistant (Medical)
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1000
HENRY W MITCHELL A
Physician Assistant
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-1303
CARL W PIERCE PA-C
Physician Assistant (Surgical)
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 626-4111
STEFANIE LAUREN LEWIS D.O.
Family Medicine (Sports Medicine)
6 E CHESTNUT ST
AUGUSTA, ME 04330
Kennebec County (207) 623-2977

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 Jennifer Blossom's NPI number?

The NPI number for Jennifer Blossom is 1063947299. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Jennifer Blossom located?

Jennifer Blossom practices at 6 E Chestnut St, Augusta, ME 04330. The listed phone number is (207) 623-2977.

What is Jennifer Blossom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jennifer Blossom enrolled in Medicare?

Yes. Jennifer Blossom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Blossom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Blossom reassigns Medicare benefits to Mainegeneral Medical Center (Augusta, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Blossom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Blossom accept?

Health plans from Harvard Pilgrim Health Care list Jennifer Blossom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Blossom was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.