EMILY BLOSSOM PA-C
NPI 1275090292
Physician Assistant in South Portland, ME

Active since February 26, 2019PECOS EnrolledAccepts Medicare Assignment
230 WATERMAN DR, SOUTH PORTLAND, ME 04106(207) 358-3188 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 17, 2023, Aug 24, 2021, Feb 26, 2019 (3 updates tracked since 2019).

About Emily Blossom Pa-c NPPES

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

EMILY BLOSSOM PA-C (NPI 1275090292) is an individual physician assistant in South Portland, Maine, licensed in Maine (PA2182) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275090292
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY BLOSSOMCredential: PA-C
Location Address230 WATERMAN DRSouth Portland, ME 04106-3635
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 706-3280
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 26, 2019
Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1275090292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ME · PA2182
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
230 WATERMAN DR, South Portland, ME 04106

Secondary Practice Location 1

Location 122 Bramhall StPortland, ME 04102-3134 · Phone (207) 661-2072

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

Emily Blossom Pa-c 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 ID4486980166
PECOS Enrollment IDI20210901002504
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 5

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.

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.
42 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services22 patients
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.
13 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
230 WATERMAN DR
SOUTH PORTLAND, ME 04106

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 Emily Blossom's NPI number?

The NPI number for Emily Blossom is 1275090292. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Emily Blossom located?

Emily Blossom practices at 230 Waterman Dr, South Portland, ME 04106. The listed phone number is (207) 358-3188.

What is Emily Blossom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emily Blossom enrolled in Medicare?

Yes. Emily Blossom 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 Emily Blossom accept?

Health plans from Harvard Pilgrim Health Care list Emily 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 Emily Blossom was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.