Individual provider Active NPI

Deborah Marie Charvat, ARNP

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1255651212
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP1772562 Issued in FL
Practice address
8251 W Broward Blvd Ste 103
Plantation, FL 33324-2703
Phone
(954) 255-7310
Fax
(954) 255-7311
NPI assigned
Jun 1, 2010
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 ARNP1772562 FL Primary

Addresses

Primary practice location

8251 W Broward Blvd Ste 103
Plantation, FL 33324-2703

Mailing address

8251 W Broward Blvd Ste 103
Plantation, FL 33324-2703
Phone (954) 255-7310

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
I20100720001042 FL Practitioner - Nurse Practitioner 9234261603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CCG of South Florida LLCGroup PAC ID 8022284173, 9 clinicians

Practice addresses (Care Compare)

8251 W Broward Blvd
Plantation, FL 33324-2703
Phone (954) 255-7310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.44 of 100Reported as group
Quality
31.48
Improvement activities
40
Cost
77.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP1772562FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CCG of South Florida LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

2901 Coral Hills Dr
Ste 360
Coral Springs, FL 33065
Phone (954) 255-7310

8251 W Broward Blvd
Ste 103
Plantation, FL 33324
Phone (954) 255-7310

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1255651212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-255-7310",
            "fax_number": "954-255-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-255-7310",
            "fax_number": "954-255-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARVAT",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1772562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.