Individual provider Active NPI

Jean Claudel Charles, DNP, FNP-C

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1639768757
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010758 Issued in FL
Practice address
725 N US Highway 1
Fort Pierce, FL 34950-9125
Phone
(772) 468-9900
Fax
(772) 468-2364
NPI assigned
Jan 13, 2021
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 APRN11010758 FL Primary

Addresses

Primary practice location

725 N US Highway 1
Fort Pierce, FL 34950-9125

Mailing address

827 18TH St
Vero Beach, FL 32960-6481
Phone (772) 925-8200

Other practice location 1

981 37th Pl
Vero Beach, FL 32960-6541
Phone (772) 257-5785

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
I20240723001131 FL Practitioner - Nurse Practitioner 9931645298 Reassigns benefits to 1 organization

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
Whole Family Health Center IncGroup PAC ID 5496641169, 28 clinicians

Practice addresses (Care Compare)

725 N US Hwy 1
Fort Pierce, FL 34950-9125
Phone (772) 468-9900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010758FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Family Health Center, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Whole Family Health Center, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Whole Family Health Center, Inc. Current Accepting new patients
Whole Family Health Center, Inc. Past Accepting new patients
Whole Family Health Center, Inc. Past Accepting new patients

Locations

725 N US Highway 1
Fort Pierce, FL 34950
Phone (772) 468-9900

827 18th St
Vero Beach, FL 32960
Phone (772) 925-8190

981 37th Pl
Vero Beach, FL 32960
Phone (772) 257-5785

Interoperability endpoints

  • Direct secure messaging: jean.charles.1@14627.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1639768757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 18TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606481",
            "telephone_number": "772-925-8200",
            "fax_number": "772-925-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349509125",
            "telephone_number": "772-468-9900",
            "fax_number": "772-468-2364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 37th Pl",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606541",
            "country_code": "US",
            "telephone_number": "772-257-5785",
            "fax_number": "772-257-5325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JEAN",
        "middle_name": "CLAUDEL",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.