Individual provider Active NPI

Marie Monique Charles, ARNP

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1013310549
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9358002 Issued in FL
Practice address
3400 Knolls Rd
Miramar, FL 33025-2814
Phone
(305) 491-3396
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9358002 FL Primary

Addresses

Primary practice location

3400 Knolls Rd
Miramar, FL 33025-2814

Mailing address

3400 Knolls Rd
Miramar, FL 33025-2814
Phone (305) 491-3396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160202002058 FL Practitioner - Nurse Practitioner 3476857012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seasons Medical Group of Florida PAGroup PAC ID 0941451314, 44 clinicians

Practice addresses (Care Compare)

5200 NE 2ND Ave
FL 3
Miami, FL 33137-2706
Phone (305) 762-3883

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Merit-based Incentive Payment System (MIPS)

Final score
82.26 of 100Reported as group
Quality
60.1
Improvement activities
40
Cost
80.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9358002FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Florida PA CurrentSince Mar 10, 2024 Accepting new patients
Gardens of Aloes Assisted Living Facility, LLC Current Accepting new patients
Pulmonary Physicians of South Florida LLC CurrentSince Jul 1, 2023 Accepting new patients
Seasons Hospice & Palliative Care of Broward Florida LLC Past Accepting new patients

Locations

1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

5200 NE 2nd Ave
Fl 3
Miami, FL 33137
Phone (305) 762-3883

8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933

10794 Pines Blvd
Ste 205
Pembroke Pines, FL 33026
Phone (954) 538-8543

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

Interoperability endpoints

  • Direct secure messaging: mariemoniquecharles@acadiamedicalcenterpa.amazing-direct.com
  • Direct secure messaging: marie.charles.1@3342.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1013310549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 KNOLLS RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252814",
            "telephone_number": "305-491-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 KNOLLS RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252814",
            "telephone_number": "305-491-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MARIE",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9358002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.