Individual provider Active NPI

Charla Jo O'Neil, CNM ARNP

  • Advanced Practice Midwife
  • Boca Raton, FL
National Provider Identifier
1891015376
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
9373487ARNP Issued in FL
Practice address
660 Glades Rd Ste 340
Boca Raton, FL 33431-6468
Phone
(561) 488-1801
Fax
(561) 451-1480
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 95687 OK
Advanced Practice Midwife 367A00000X 9373487ARNP FL Primary

Addresses

Primary practice location

660 Glades Rd Ste 340
Boca Raton, FL 33431-6468

Mailing address

660 Glades Rd Ste 340
Boca Raton, FL 33431-6468
Phone (561) 488-1801

Other names 1

  • Charla Jo Wardlon Former 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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523000014 FL Practitioner - Certified Nurse Midwife (CNM) 8426181074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mira Womens Health and MidwiferyGroup PAC ID 5890235519, 10 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 210
Boca Raton, FL 33487-5716
Phone (561) 488-1801

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
95687OKMDObstetrics & Gynecology Nurse Practitioner
9373487ARNPFLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mira Women'S Health and Midwifery CurrentSince Apr 10, 2025 Accepting new patients

Locations

660 Glades Rd
Ste 340
Boca Raton, FL 33431
Phone (561) 392-7508

1601 Clint Moore Rd
Ste 210
Boca Raton, FL 33487
Phone (561) 488-1801

Interoperability endpoints

  • Direct secure messaging: charla.o.neil.1@31769.direct.athenahealth.com

Organizations & group practices 1

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1891015376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GLADES RD STE 340",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316468",
            "telephone_number": "561-488-1801",
            "fax_number": "561-451-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLADES RD STE 340",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316468",
            "telephone_number": "561-488-1801",
            "fax_number": "561-451-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "CHARLA",
        "middle_name": "JO",
        "credential": "CNM ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OK",
            "license": "95687",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9373487ARNP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLA",
            "last_name": "WARDLON",
            "middle_name": "JO",
            "credential": "CNM ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.