Active NPI
Charlene Renee' Juan, ARNP
- Family Nurse Practitioner
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9220976
- Practice address
- 1625 SE 3Rd Ave Ste 620
Fort Lauderdale, FL 33316-2521 - Phone
- (954) 320-3380
- Fax
- (954) 320-3371
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9220976 | FL | Primary |
Addresses
Primary practice location
1625 SE 3Rd Ave Ste 620
Fort Lauderdale, FL 33316-2521
Mailing address
1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 320-3380
Other practice location 1
1601 S Andrews Ave Fl 3
Fort Lauderdale, FL 33316-2509
Phone (954) 320-3380
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 S Andrews Ave
FL 3
Fort Lauderdale, FL 33316-2509
Phone (954) 763-6655
Hospital & facility affiliations
- Broward Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 84.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9220976 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Broward Hospital District | Single Specialty | Current | Accepting new patients |
| North Broward Hospital District | Current | Accepting new patients | |
| North Broward Hospital District | Current | Accepting new patients | |
| Cleveland Clinic Florida a Nonprofit Corporation | Single Specialty | Current | Accepting new patients |
| North Broward Hospital District | Past | Accepting new patients |
Locations
1601 S Andrews Ave
Fl 3
Ft Lauderdale, FL 33316
Phone (954) 320-3380
1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490
1608 SE 3rd Ave
Fl 3
Ft Lauderdale, FL 33316
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
1625 SE 3rd Ave
Ste 620
Ft Lauderdale, FL 33316
Phone (954) 320-3380
2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000
Networks
- Freedom Health HMO Network
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.
-
- Neurological Surgery Physician
- Fort Lauderdale, FL
- NPI 1801581129
Single Specialty
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
Single Specialty
-
- Community/Retail Pharmacy
- Pompano Beach, FL
- NPI 1699709766
-
- Cardiovascular Disease Physician
- Fort Lauderdale, FL
- NPI 1912710633
-
- Community/Retail Pharmacy
- Fort Lauderdale, FL
- NPI 1134164965
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1134612591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 SE 3RD AVE FL 3",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162564",
"telephone_number": "954-320-3380",
"fax_number": "954-320-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 SE 3RD AVE STE 620",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162521",
"telephone_number": "954-320-3380",
"fax_number": "954-320-3371"
}
],
"practiceLocations": [
{
"address_1": "1601 S Andrews Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333162509",
"country_code": "US",
"telephone_number": "954-320-3380",
"fax_number": "954-320-3371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUAN",
"first_name": "CHARLENE",
"middle_name": "RENEE'",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9220976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.