Individual provider Active NPI

Sasha Charres

  • Primary Care Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1699497040
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11022247 Issued in FL
Practice address
15871 Pines Blvd Ste 3
Pembroke Pines, FL 33027-1220
Phone
(954) 226-0305
NPI assigned
Sep 13, 2022
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11022247 FL Primary

Addresses

Primary practice location

15871 Pines Blvd Ste 3
Pembroke Pines, FL 33027-1220

Mailing address

15871 Pines Blvd Ste 3
Pembroke Pines, FL 33027-1220
Phone (954) 226-0305

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
I20230930000645 FL Practitioner - Nurse Practitioner 2466806120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Medical Center, LLCGroup PAC ID 9830508852, 6 clinicians

Practice addresses (Care Compare)

13400 SW 10TH St
Pembroke Pines, FL 33027-1833
Phone (954) 900-1466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11022247FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Medical Center, LLC. CurrentSince May 15, 2025 Accepting new patients

Locations

13400 SW 10th St
Pembroke Pines, FL 33027
Phone (954) 900-1466

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, 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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1699497040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15871 PINES BLVD STE 3",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271220",
            "telephone_number": "954-226-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15871 PINES BLVD STE 3",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271220",
            "telephone_number": "954-226-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARRES",
        "first_name": "SASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11022247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.