Active NPI
Alexandra Blanche
- Surgery Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD25175
- Practice address
- 417 State Street
Webber West Suite 340
Bangor, ME 04401 - Phone
- (207) 973-4949
- NPI assigned
- Apr 24, 2015
- Last updated
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD25175 | ME | Primary |
Addresses
Primary practice location
417 State Street
Webber West Suite 340
Bangor, ME 04401
Mailing address
417 State Street
Webber West Suite 340
Bangor, ME 04401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 State St
Suite 330
Bangor, ME 04401-6638
Phone (207) 973-8881
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25175 | ME | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients |
Locations
417 State St
Ste 340
Bangor, ME 04401
Phone (207) 973-4949
489 State St
Bangor, ME 04401
Phone (207) 973-8837
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1285021584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 STATE STREET",
"address_2": "WEBBER WEST SUITE 340",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 STATE STREET",
"address_2": "WEBBER WEST SUITE 340",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-973-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHE",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2022-07-25",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "MD25175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.