BLAIR ALLISON MAILLOUX RN
NPI 1730888009
Nurse Practitioner - Pediatrics in North Dartmouth, MA
About Blair Allison Mailloux Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAIR ALLISON MAILLOUX RN (NPI 1730888009) is an individual pediatrics provider in North Dartmouth, Massachusetts, licensed in Massachusetts (RN2333066) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blair Allison Mailloux Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Blair Mailloux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairhaven, MA 02719
- Reassigned Medicare billing, Massachusetts enrollment
- 1,144 clinicians in this Medicare group
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 02747 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.
NORTH DARTMOUTH, MA 02747
NORTH DARTMOUTH, MA 02747
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 Blair Mailloux's NPI number?
The NPI number for Blair Mailloux is 1730888009. It was assigned to this individual provider in the NPPES registry on February 27, 2023.
Where is Blair Mailloux located?
Blair Mailloux practices at 49 State Rd, North Dartmouth, MA 02747. The listed phone number is (508) 973-9240.
What is Blair Mailloux's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Blair Mailloux enrolled in Medicare?
Yes. Blair Mailloux is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Blair Mailloux's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blair Mailloux reassigns Medicare benefits to Southcoast Physicians Group, Inc. (Fairhaven, MA). 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 Blair Mailloux'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 Blair Mailloux was last updated on November 13, 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.
# Blair Allison Mailloux, RN · NPI 1730888009
Pediatrics physician in North Dartmouth, Massachusetts. Individual provider, active in the CMS NPPES registry since February 27, 2023.
## Identity
- **NPI:** 1730888009 (Entity type: Individual)
- **Enumerated:** February 27, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN2333066 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 49 STATE RD, North Dartmouth, MA 02747-3322
- **Phone:** (508) 973-9240 · **Fax:** (508) 973-0306
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southcoast Physicians Group, Inc. (NPI 1336137629, Fairhaven, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2025
- **Other identifiers:** Other RN2333066 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1730888009) · Data from the CMS NPPES public registry.