Individual provider Active NPI

Marie Eronne Jean Charles, ARNP

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1417329665
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9377767 Issued in FL
Practice address
6901 Cypress Road
Plantation, FL 33317
Phone
(954) 657-1877
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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 9377767 FL Primary

Addresses

Primary practice location

6901 Cypress Road
Plantation, FL 33317

Mailing address

6901 Cypress Rd Apt A15
Plantation, FL 33317-2301
Phone (954) 657-1877

Other names 1

  • Marie Eronne Jean Charles Professional name

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
I20160616001819 FL Practitioner - Nurse Practitioner 4082905302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

345 S Congress Ave
Delray Beach, FL 33445-4617
Phone (561) 274-3143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9377767FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Mar 25, 2016 Accepting new patients
Florida Department of Health CurrentSince Mar 25, 2016 Accepting new patients

Locations

345 S Congress Ave
Delray Beach, FL 33445
Phone (561) 274-3100

225 S Congress Ave
Delray Beach, FL 33445
Phone (561) 274-3100

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

Organizations & group practices 2

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": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1417329665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 CYPRESS RD APT A15",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172301",
            "telephone_number": "954-657-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 CYPRESS ROAD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-657-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN CHARLES",
        "first_name": "MARIE",
        "middle_name": "ERONNE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9377767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "JEAN CHARLES",
            "middle_name": "ERONNE",
            "credential": "ARNP/ FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.