ELISE R BLASEG MD
NPI 1205585742
Family Medicine in Salt Lake City, UT
About Elise R Blaseg Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE R BLASEG MD (NPI 1205585742) is an individual family medicine provider in Salt Lake City, Utah, licensed in New Hampshire (35012) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Elise R Blaseg Md 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mary Hitchcock Memorial Hospital
Acute Care Hospitals · Lebanon, NHNew London Hospital
Critical Access Hospitals · New London, NHAlice Peck Day Memorial Hospital
Critical Access Hospitals · Lebanon, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
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 Elise Blaseg's NPI number?
The NPI number for Elise Blaseg is 1205585742. It was assigned to this individual provider in the NPPES registry on March 22, 2022.
Where is Elise Blaseg located?
Elise Blaseg practices at 1250 E 3900 S Ste 260, Salt Lake City, UT 84124. The listed phone number is (801) 265-2000.
What is Elise Blaseg's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elise Blaseg enrolled in Medicare?
Yes. Elise Blaseg 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.
What insurance does Elise Blaseg accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Elise Blaseg 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.
Is Elise Blaseg affiliated with any hospitals?
According to CMS data, Elise Blaseg is affiliated with Mary Hitchcock Memorial Hospital, New London Hospital and Alice Peck Day Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Elise Blaseg was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Elise R Blaseg, MD · NPI 1205585742
Family Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1205585742 (Entity type: Individual)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35012 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 1250 E 3900 S STE 260, Salt Lake City, UT 84124-1371
- **Phone:** (801) 265-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 2022
## Record status
- **NPPES last updated:** October 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205585742) · Data from the CMS NPPES public registry.