St. Charles Family Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301059644 Issued in MI

Legal business name

ST. CHARLES FAMILY CLINIC PLLC

Practice address

611 W Belle Avenue
Saint Charles, MI 48655

Phone

(989) 865-9958

Fax

(989) 865-8099

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Naveed Mahfooz, MDNPI 1780639450

Title

Owner

Phone

(989) 865-9958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Naveed Mahfooz, MD

  • Internal Medicine Physician
  • Caro, MI
  • NPI 1780639450

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Jillian Rodney, AGPCNP-BC

  • Nurse Practitioner
  • Saint Charles, MI
  • NPI 1205295573
  Medicare reassignment Care Compare group NPD
• Cynthia C Evans, FNP-C

  • Family Nurse Practitioner
  • Saginaw, MI
  • NPI 1881238517
  Medicare reassignment NPD
• Theresa Irene Jensen

  • Gerontology Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1639569916
  Medicare reassignment NPD
• Rabeea Mirza, M.D

  • Rheumatology Physician
  • Jackson, MI
  • NPI 1679993216
  Medicare reassignment NPD
• Courtney Lynn Topp, FNP-BC

  • Family Nurse Practitioner
  • Caro, MI
  • NPI 1164990669
  Medicare reassignment NPD
• Kimberly Truckner, MSN, FNP-BC

  • Family Nurse Practitioner
  • Saint Charles, MI
  • NPI 1538635842
  Medicare reassignment NPD
• Chad Wolinski

  • Family Nurse Practitioner
  • Bay City, MI
  • NPI 1760847883
  Medicare reassignment NPD
• Jonathan Hollis, F-NP

  • Gerontology Nurse Practitioner
  • Caro, MI
  • NPI 1205298262
  Medicare reassignment
• Bryce Wackerle

  • Physician Assistant
  • Midland, MI
  • NPI 1922861335
  Medicare reassignment
• Alison Marie Burgess, FNP

  • Family Nurse Practitioner
  • Saginaw, MI
  • NPI 1710715487
  NPD (past)
• April Nicole Conway, AGNP

  • Nurse Practitioner
  • Caro, MI
  • NPI 1861955932
  NPD (past)

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1669837993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W BELLE AVE",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551611",
            "telephone_number": "989-865-9958",
            "fax_number": "989-865-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W BELLE AVENUE",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "48655",
            "telephone_number": "989-865-9958",
            "fax_number": "989-865-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1277 E Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Gladwin",
            "state": "MI",
            "postal_code": "486247004",
            "country_code": "US",
            "telephone_number": "989-709-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. CHARLES FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "MAHFOOZ",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-865-9958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301059644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Rivera
• Jillian Rodney, AGPCNP-BC
• Ronald L Gonzales MD PLLC
• Nathan R Schramm
• St Charles Pharmacy LLC
• St. Charles Family Dentistry
• Jennifer Jo Thon, B.A.
• Kimberly Truckner, MSN, FNP-BC
• Valley Residential Services, Inc.
• Rachel Wells

• Family Medicine Physician in Saint Charles, MI
• Providers in Saint Charles, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.