Marina Blaisdell, PA-C
NPI 1720611338 · Physician Assistant · Boston, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marina Blaisdell, PA-C is a Physician Assistant provider in Boston, MA (NPI 1720611338).
Provider details
- NPI number
- 1720611338
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1171439 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2 Pond Park RdHingham, MA 02043-4347Phone: (781) 624-8352
- 55 Fogg RdWeymouth, MA 02190-2432Phone: (781) 624-8000
Registry dates
- Enumerated
- 2020-02-21
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Frequently asked questions
- What is Marina Blaisdell's NPI number?
- Marina Blaisdell's National Provider Identifier (NPI) is 1720611338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marina Blaisdell's specialty?
- Marina Blaisdell is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marina Blaisdell located?
- Marina Blaisdell's practice location on file with NPPES is 136 Harrison Ave, Boston, MA 02111-1817.
- What is Marina Blaisdell's phone number?
- The practice phone number listed in the NPPES registry for Marina Blaisdell is (617) 636-0405.
- Does Marina Blaisdell accept Medicare?
- Marina Blaisdell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marina Blaisdell's NPI active?
- Yes — Marina Blaisdell's NPI (1720611338) is active in the NPPES registry as of the last update on 2026-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.