Active NPI
Charli Marie Souza, FNP-BC
- Family Nurse Practitioner
- Rochester Hills, MI
National Provider Identifier
1477193134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704307747
- Practice address
- 3010 Walton Blvd
Rochester Hills, MI 48309-1264 - Phone
- (866) 389-2727
- NPI assigned
- Jan 10, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704307747 | MI | Primary |
Addresses
Primary practice location
3010 Walton Blvd
Rochester Hills, MI 48309-1264
Mailing address
3074 Florence CT
Rochester Hills, MI 48309-4087
Phone (810) 887-1046
Other practice location 1
500 Kirts Blvd Ste 200
Troy, MI 48084-4140
Phone (248) 824-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250318000535 | MI | Order and Referring Only - Nurse Practitioner | 3375972441 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Urgent Care Southfield | Past | Accepting new patients |
Interoperability endpoints
- csouza1067588@direct.hfhs.org
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.
-
- Urgent Care Clinic/Center
- Southfield, MI
- NPI 1326660929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1477193134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3074 FLORENCE CT",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483094087",
"telephone_number": "810-887-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 WALTON BLVD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483091264",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "500 Kirts Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480844140",
"country_code": "US",
"telephone_number": "248-824-6060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOUZA",
"first_name": "CHARLI",
"middle_name": "MARIE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704307747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.