Individual provider Active NPI

Juan Carlos Fernandez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Arcadia, FL
National Provider Identifier
1194436170
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11016281 Issued in FL
Practice address
725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752
Phone
(863) 494-1242
NPI assigned
Dec 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 11016281 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11016281 FL Primary

Addresses

Primary practice location

725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752

Mailing address

472 Florida Blvd
Miami, FL 33144-2465

Other practice location 1

472 Florida Blvd
Miami, FL 33144-2465
Phone (786) 302-0408

Other practice location 2

5361 NW 22nd Ave
Miami, FL 33142-8035
Phone (305) 637-6400

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
I20230915000388 FL Practitioner - Nurse Practitioner 0840654448 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11016281FLMDFamily Nurse Practitioner
APRN11016281FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jessie Trice Community Health System, Inc Current Accepting new patients
Gesher Medical Services, LLC Family CurrentSince Aug 27, 2024 Accepting new patients
Jessie Trice Community Health System, Inc CurrentSince Feb 1, 2025 Accepting new patients
MCR Health, Inc. Family CurrentSince Mar 26, 2024 Accepting new patients
Balanced Wellbeing LLC CurrentSince Sep 1, 2023 Accepting new patients
Jessie Trice Community Health System Inc CurrentSince Feb 1, 2025 Accepting new patients
JCF Medical Solution LLC Family Current Accepting new patients
MCR Health, Inc. CurrentSince Mar 26, 2024 Accepting new patients
Jessie Trice Community Health System Inc Current Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

901 E 10th Ave
Hialeah, FL 33010
Phone 30563764002151

5607 NW 27th Ave
Ste 1
Miami, FL 33142
Phone (305) 805-1700

5361 NW 22nd Ave
Miami, FL 33142
Phone (305) 835-1586

20612 NW 27th Ave
Miami Gardens, FL 33056
Phone (305) 835-1615

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1194436170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 FLORIDA BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N 12TH AVE BLDG B",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668752",
            "telephone_number": "863-494-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "472 Florida Blvd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331442465",
            "country_code": "US",
            "telephone_number": "786-302-0408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5361 NW 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331428035",
            "country_code": "US",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016281",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11016281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

Verify at the official NPI Registry.