Individual provider Active NPI

Charlene Renee' Juan, ARNP

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1134612591
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9220976 Issued in FL
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

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009000718 FL Practitioner - Nurse Practitioner 7810249554 Reassigns benefits to 2 organizations

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
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

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 Hospital, Fort Lauderdale, FL, CCN 100039

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
84.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
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

LicenseStateTypeSpecialty
9220976FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District Single Specialty Current Accepting new patients
North Broward Hospital District CurrentSince Sep 23, 2024 Accepting new patients
North Broward Hospital District CurrentSince Sep 23, 2024 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Single Specialty CurrentSince Nov 23, 2020 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.

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": "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

Verify at the official NPI Registry.