Individual provider Active NPI

Tamu L Escalera, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1215216999
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R176076 Issued in MD
Practice address
4910 Cordova CT
Waldorf, MD 20602-3177
Phone
(240) 210-5864
NPI assigned
Aug 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R176076 MD Primary
Registered Nurse 163W00000X RN1011733 DC

Addresses

Primary practice location

4910 Cordova CT
Waldorf, MD 20602-3177

Mailing address

4910 Cordova CT
Waldorf, MD 20602-3177
Phone (240) 210-5864

Other practice location 1

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260307000354 MD Practitioner - Nurse Practitioner 4486136462 Reassigns benefits to 1 organization
I20260307000386 DC Practitioner - Nurse Practitioner 4486136462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Healthcare GroupGroup PAC ID 1254409550, 76 clinicians

Practice addresses (Care Compare)

1150 Varnum St NE
Washington, DC 20017-2180
Phone (202) 360-4787

8040 Georgia Ave
Suite 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN1011733DCMDRegistered Nurse
R176076MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Healthcare Group CurrentSince Jan 25, 2026 Accepting new patients

Locations

8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (301) 284-0207

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1215216999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 CORDOVA CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023177",
            "telephone_number": "240-210-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 CORDOVA CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023177",
            "telephone_number": "240-210-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Georgia Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104959",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCALERA",
        "first_name": "TAMU",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R176076",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1011733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.