Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Blossom, PA-C

Individual provider Physician Assistant · NPI 1275090292

Emily Blossom, PA-C is a Physician Assistant in South Portland, Maine. Qualified in 2019, 7 years ago. Practices with Mainehealth, a 2,615-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

230 Waterman Dr
South Portland, ME 04106-3635
Phone: (207) 358-3188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 Bramhall St, Portland, ME 04102-3134 — (207) 661-2072

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2182 (ME)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1275090292
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 26, 2019
Last updated in NPPESOctober 17, 2023
Certification dateOctober 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in South Portland