Individual provider Active NPI

Martin Angel Perez Escamilla

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1497636161
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1209110 Issued in TX
Practice address
3711 Medical Dr Apt 2412
San Antonio, TX 78229-2326
Phone
(210) 436-9018
NPI assigned
Sep 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1209110 TX Primary

Addresses

Primary practice location

3711 Medical Dr Apt 2412
San Antonio, TX 78229-2326

Mailing address

3711 Medical Dr Apt 2412
San Antonio, TX 78229-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251112004449 TX Practitioner - Nurse Practitioner 6103317649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillside Primary Care PLLCGroup PAC ID 0648530386, 49 clinicians

Practice addresses (Care Compare)

1009 NW Loop
410 Psych Office
San Antonio, TX 78213-2221
Phone (210) 742-6551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1209110TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Wellbeing Nationwide PA CurrentSince Sep 19, 2025 Accepting new patients
Hillside Primary Care PLLC CurrentSince Nov 1, 2025 Accepting new patients
Balanced Wellbeing Nationwide PA CurrentSince Sep 19, 2025 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

741 Generations Dr
Ste 215
New Braunfels, TX 78130

1009 NW Loop 410
Ofc
San Antonio, TX 78213
Phone (210) 742-6551

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1497636161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 MEDICAL DR APT 2412",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 MEDICAL DR APT 2412",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292326",
            "telephone_number": "210-436-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ESCAMILLA",
        "first_name": "MARTIN",
        "middle_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1209110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.