Individual provider Active NPI

Terri Scamardo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1609204247
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP124266 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701
Phone
(903) 606-4262
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 451371 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP124266 TX Primary

Addresses

Primary practice location

800 E Dawson St
Tyler, TX 75701

Mailing address

PO Box 841656
Dallas, TX 75284-1656
Phone (903) 531-5000

Other practice location 1

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 688-8421

Other identifiers 6

IdentifierTypeStateIssuer
P02352024OtherTXMEDICARE RAIL ROAD
339067605MedicaidTX
844222OtherTXMEDICARE
852551OtherTXMEDICARE
8LG044OtherTXBCBS
P02352019OtherTXMEDICARE RAIL ROAD

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
I20140424000914 TX Practitioner - Nurse Practitioner 9032342209 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians

Practice addresses (Care Compare)

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
451371TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Nov 21, 2024 Accepting new patients
Forefront-Rush Medical Service PA CurrentSince May 5, 2022 Accepting new patients
El Paso Community MHMR Family CurrentSince Aug 3, 2022 Accepting new patients
El Paso Community MHMR Current Accepting new patients
Questcare Medical Services, PLLC Current Accepting new patients
Northeast Texas Emergency Physicians, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Questcare Medical Services, PLLC CurrentSince Jun 1, 2014 Accepting new patients
El Paso Community MHMR Psychiatric/Mental Health CurrentSince Aug 3, 2022 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Sep 30, 2019 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Sep 30, 2019 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Dec 1, 2013 Accepting new patients
Access Telecare California, P.C. PastSince Sep 18, 2023 Accepting new patients
El Paso Community MHMR Past Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone (915) 599-6690

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 319-9488

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129

Interoperability endpoints

  • Direct secure messaging: tscamardo206901@christushealth.direct-ci.net

Organizations & group practices 14

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.

View all 14

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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1609204247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841656",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841656",
            "telephone_number": "903-531-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-606-4262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-688-8421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCAMARDO",
        "first_name": "TERRI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "451371",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP124266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P02352024",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339067605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "844222",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "852551",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8LG044",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P02352019",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.