Individual provider Active NPI

Charly Escobar, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1629720719
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11017466 Issued in FL
Practice address
15955 SW 96TH St Ste 102
Miami, FL 33196-1272
Phone
(305) 271-9777
Fax
(786) 533-9383
NPI assigned
Jan 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11017466 FL Primary

Addresses

Primary practice location

15955 SW 96TH St Ste 102
Miami, FL 33196-1272

Mailing address

PO Box 198054
Atlanta, GA 30384-8054
Phone (305) 271-9777

Other names 1

  • Charly Escobar Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHARLYE@cerner.directbaptisthealth.com

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
I20220302001077 FL Practitioner - Nurse Practitioner 2961896212 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians
Hermes Clinical Center LLCGroup PAC ID 2466956123, 3 clinicians
Medical Specialists of South FloridaGroup PAC ID 3971813387, 3 clinicians

Practice addresses (Care Compare)

15955 SW 96TH St
Suite 102
Miami, FL 33196-1272
Phone (786) 467-3435

17670 NW 78TH Ave
Suite 113a
Hialeah, FL 33015-3665
Phone (786) 558-4565

330 SW 27TH Ave
Suite 305
Miami, FL 33135-2957
Phone (305) 487-3989

4960 N Pine Island Rd
Sunrise, FL 33351-5314
Phone (561) 931-3941

Hospital & facility affiliations

  • Professional Solutions Home Health Agency Inc Home health agency, Miami, FL, CCN 109172

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling and Wellness Center LLC CurrentSince Sep 1, 2025 Accepting new patients
Dalia Medical Center Corp CurrentSince Aug 1, 2025 Accepting new patients
Oasis Harmony Health Group Corp CurrentSince Aug 9, 2025 Accepting new patients
Medical Specialists of South Florida CurrentSince Sep 1, 2025 Accepting new patients
Baptist Health Medical Group Physicians LLC CurrentSince Feb 7, 2022 Accepting new patients

Locations

17670 NW 78th Ave
Ste 113A
Hialeah, FL 33015
Phone (786) 397-1509

10201 Hammocks Blvd
Ste 122
Miami, FL 33196
Phone (305) 541-9709

10201 Hammocks Blvd
Ste 123
Miami, FL 33196
Phone (305) 385-5582

15955 SW 96th St
Ste 102
Miami, FL 33196
Phone (786) 467-3140

6200 Sunset Dr
Ste 502
South Miami, FL 33143
Phone (305) 430-6969

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

4960 N Pine Island Rd
Sunrise, FL 33351
Phone (561) 931-3941

Interoperability endpoints

  • Direct secure messaging: charlye@cerner.directbaptisthealth.com

Organizations & group practices 6

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1629720719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848054",
            "telephone_number": "305-271-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961272",
            "telephone_number": "305-271-9777",
            "fax_number": "786-533-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "CHARLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHARLYE@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "15955 SW 96th St Ste 102",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331961272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARLY",
            "last_name": "ESCOBAR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.