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MARLYN TABLO ESCALONA
NPI 1285213793
Nurse Practitioner - Primary Care in Spring Valley, NY

Active since April 03, 2021PECOS Enrolled
8 LINCOLN ST, SPRING VALLEY, NY 10977(973) 931-9001 Get Directions Write a Review

NPPES record last updated: April 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marlyn Tablo Escalona NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLYN TABLO ESCALONA (NPI 1285213793) is an individual primary care provider in Spring Valley, New York, licensed in New Jersey (26NJ01132500) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285213793
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARLYN TABLO ESCALONA
Location Address8 LINCOLN STSpring Valley, NY 10977-5822
Mailing Address8 Lincoln StSpring Valley, NY 10977-5822 · (973) 931-9001
Phone(973) 931-9001
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 3, 2021
NPPES CertifiedApril 3, 2021
✔ NPI 1285213793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26NJ01132500
8 LINCOLN ST, Spring Valley, NY 10977
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlyn Tablo Escalona is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315345527
PECOS Enrollment IDI20211001001159
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Marlyn Escalona reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
23 mi
Geriatric Medicine
459 PASSAIC AVE, CRANE'S MILL - OAK HEALTH CENTER
West Caldwell, NJ 07006
  • Reassigned Medicare billing, New Jersey enrollment
  • 15 clinicians in this Medicare group
NPI 1326059320 (973) 276-3026
The Heart Center Of The Oranges
25 mi
Cardiovascular Disease
60 EVERGREEN PLACE, SUITE 400
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 45 clinicians in this Medicare group
NPI 1477532588 (973) 395-1550
Py Medical Services Of Nj LLC
26 mi
Multi-Specialty
65 JAY ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 63 clinicians in this Medicare group
NPI 1942912381 (718) 709-0940

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
298 services189 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
217 services151 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
153 services99 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
135 services88 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
120 services31 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10977 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlyn Escalona's NPI number?

The NPI number for Marlyn Escalona is 1285213793. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Where is Marlyn Escalona located?

Marlyn Escalona practices at 8 Lincoln St, Spring Valley, NY 10977. The listed phone number is (973) 931-9001.

What is Marlyn Escalona's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Marlyn Escalona enrolled in Medicare?

Yes. Marlyn Escalona is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marlyn Escalona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlyn Escalona reassigns Medicare benefits to 3 organizations: (West Caldwell, NJ), The Heart Center Of The Oranges (East Orange, NJ) and Py Medical Services Of Nj LLC (Newark, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlyn Escalona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlyn Escalona accept?

Health plans from Oscar Health list Marlyn Escalona as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marlyn Escalona was last updated on April 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.