Active NPI
Charly Escobar, APRN
- Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11017466
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.99 of 100
- Quality
- 81.94
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling and Wellness Center LLC | Current | Accepting new patients | |
| Dalia Medical Center Corp | Current | Accepting new patients | |
| Oasis Harmony Health Group Corp | Current | Accepting new patients | |
| Medical Specialists of South Florida | Current | Accepting new patients | |
| Baptist Health Medical Group Physicians LLC | Current | 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
- 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.
-
- Specialist
- Miami, FL
- NPI 1891893343
-
- Internal Medicine Physician
- Sunrise, FL
- NPI 1437542313
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1275062135
-
- Primary Care Clinic/Center
- Hialeah, FL
- NPI 1417788738
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1952284994
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1548095011
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Doral, FL
- NPI 1033390406
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.