EMILY BLOSSOM (PA-C) – Physician Assistant, NPI 1275090292

EMILY BLOSSOM (PA-C) is a healthcare provider. based in Brookline, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2182 (ME). The NPI Number for EMILY BLOSSOM (PA-C) is 1275090292

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
EMILY BLOSSOM (PA-C)
NPI
1275090292
Phone
Not provided
Address
80 PLEASANT ST APT 25
Enumeration Date
26 February 2019
Last Update Date
17 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2073583188
Graduation Year
2019 (7 years ago)
PAC ID
4486980166
Group Practice PAC ID
1052651940
Professional Enrollment ID
I20210901002504
Address ID
ME041063635SO230XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for EMILY BLOSSOM (PA-C)

  • 80 PLEASANT ST APT 25

    BROOKLINE, MA 024467156

    Phone:

    Type: Mailing

  • 22 BRAMHALL ST

    PORTLAND, ME 041023134

    Phone: (207) 706-3280

    Type: Mailing

  • 22 Bramhall St

    Portland, ME 041023134

    Phone: (207) 661-2072

    Type: Location

  • 22 SUMMIT TER

    WELLS, ME 040904422

    Phone:

    Type: Mailing

  • 230 WATERMAN DR

    SOUTH PORTLAND, ME 041063635

    Phone: (207) 358-3188

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-02-07 • Largest payer in this snapshot: Amgen Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210901002504IPhysician AssistantMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4340$0
99214Established patient office or other outpatient visit, 30-39 minutes3937$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
81003Automated urinalysis test1616$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1414$0
View full utilization report →

Insurance plans in this area (ZIP 02446)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052651940View full group profile
NameSpecialtyState
Nurse PractitionerCO
Physician AssistantMA
Nurse PractitionerME
-ME
-ME
Physician AssistantME
Family PracticeME
Emergency MedicineME
Physician AssistantME
Physician AssistantME

Reviews

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Frequently asked questions

Can I use this page to confirm EMILY BLOSSOM (PA-C)'s NPI?
Yes. EMILY BLOSSOM (PA-C) is listed with NPI 1275090292 in the public NPI dataset.
Can I rely on EMILY BLOSSOM (PA-C) being an active provider?
As of the registry snapshot, EMILY BLOSSOM (PA-C) is marked active.
What is EMILY BLOSSOM (PA-C)'s specialty?
The listing groups EMILY BLOSSOM (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for EMILY BLOSSOM (PA-C)?
EMILY BLOSSOM (PA-C)'s geographic hint is Brookline, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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