MARINA RODZIANKO BLAISDELL PA-C
NPI 1720611338
Physician Assistant in Boston, MA

Active since February 21, 2020PECOS EnrolledAccepts Medicare Assignment
136 HARRISON AVE, BOSTON, MA 02111(617) 636-0405 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2026, Feb 21, 2020 (2 updates tracked since 2020).

About Marina Rodzianko Blaisdell Pa-c NPPES

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

MARINA RODZIANKO BLAISDELL PA-C (NPI 1720611338) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (1171439) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720611338
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARINA RODZIANKO BLAISDELLCredential: PA-C
Location Address136 HARRISON AVEBoston, MA 02111-1817
Mailing Address16 Cogswell AveCambridge, MA 02140-2001 · (845) 545-1012
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2020
Enumeration DateFebruary 21, 2020
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1720611338 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 MA · 1171439
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.

136 HARRISON AVE, Boston, MA 02111

Secondary Practice Locations 2

Location 12 Pond Park RdHingham, MA 02043-4347 · Phone (781) 624-8352
Location 255 Fogg RdWeymouth, MA 02190-2432 · Phone (781) 624-8000

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

Marina Rodzianko Blaisdell 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 ID7416375175
PECOS Enrollment IDI20200911000771
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

Physician Assistant
136 HARRISON AVE
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
136 HARRISON AVE
BOSTON, MA 02111
Physician Assistant (Medical)
136 HARRISON AVE
BOSTON, MA 02111

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 Marina Blaisdell's NPI number?

The NPI number for Marina Blaisdell is 1720611338. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Marina Blaisdell located?

Marina Blaisdell practices at 136 Harrison Ave, Boston, MA 02111. The listed phone number is (617) 636-0405.

What is Marina Blaisdell's specialty?

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

Is Marina Blaisdell enrolled in Medicare?

Yes. Marina Blaisdell 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 Marina Blaisdell accept?

Health plans from Anthem Blue Cross and Blue Shield list Marina Blaisdell 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 Marina Blaisdell affiliated with any hospitals?

According to CMS data, Marina Blaisdell is affiliated with Beth Israel Deaconess Hospital - Needham and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Marina Blaisdell was last updated on April 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.