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ELIZABETH BLADES FNP
NPI 1407568967
Nurse Practitioner - Family in Portland, ME

Active since December 15, 2022PECOS Enrolled
887 CONGRESS ST STE 100, PORTLAND, ME 04102(207) 272-2882 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Blades Fnp NPPES

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

ELIZABETH BLADES FNP (NPI 1407568967) is an individual family provider in Portland, Maine, licensed in Maine (CNP221625) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407568967
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH BLADESCredential: FNP
Location Address887 CONGRESS ST STE 100Portland, ME 04102-3100
Mailing Address107 Frost Hill RdPortland, ME 04103-2281 · (207) 272-2882
Phone(207) 272-2882
Sole ProprietorNo
Enumeration DateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
✔ NPI 1407568967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP221625
887 CONGRESS ST STE 100, Portland, ME 04102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Blades Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Blades reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maine Medical Partners
Same address
Pediatric Surgery
887 CONGRESS ST, SUITE 300
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 188 clinicians in this Medicare group
NPI 1134305386 (207) 662-5555
Mainehealth
Same address
Maternal & Fetal Medicine
887 CONGRESS ST, SUITE 200
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1063726891 (207) 771-5549

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

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 2

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

NATHALIE PAQUETTE
Dietitian, Registered
887 CONGRESS ST STE 100
PORTLAND, ME 04102
Cumberland County (207) 662-5522
AMANDA GODDARD MD
Pediatrics (Pediatric Infectious Diseases)
887 CONGRESS ST STE 100
PORTLAND, ME 04102
Cumberland County (207) 662-5522

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 Elizabeth Blades's NPI number?

The NPI number for Elizabeth Blades is 1407568967. It was assigned to this individual provider in the NPPES registry on December 15, 2022.

Where is Elizabeth Blades located?

Elizabeth Blades practices at 887 Congress St Ste 100, Portland, ME 04102. The listed phone number is (207) 272-2882.

What is Elizabeth Blades's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Blades enrolled in Medicare?

Yes. Elizabeth Blades is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Blades's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Blades reassigns Medicare benefits to 2 organizations: Maine Medical Partners (Portland, ME) and Mainehealth (Portland, ME). Each 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 Elizabeth Blades's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Blades was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.