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ST. CHARLES FAMILY CARE - PRINEVILLE
NPI 1407178528
Clinic/Center - Rural Health in Prineville, OR

Active since February 16, 2010CLIA 38D0992699 · Waiver
384 SE COMBS FLAT RD, SUITE 1200, PRINEVILLE, OR 97754(541) 447-6263(541) 447-8724 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2023, Jan 4, 2017, Feb 5, 2016 (3 updates tracked since 2016).

About St. Charles Family Care - Prineville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. CHARLES FAMILY CARE - PRINEVILLE (NPI 1407178528) is a healthcare organization registered as a rural health in Prineville, Oregon and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Matthew Swafford, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407178528
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST. CHARLES HEALTH SYSTEM, INC.
Location Address384 SE COMBS FLAT RD, SUITE 1200Prineville, OR 97754-2562
Mailing AddressPo Box 6095Bend, OR 97708-6095 · (541) 382-4321 · Fax (541) 447-8724
Phone(541) 447-6263
Fax(541) 447-8724
Organization SubpartNo
Authorized OfficialMatthew SwaffordCfo · (541) 382-4321
Enumeration DateFebruary 16, 2010
Last NPPES UpdateMay 5, 20233 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1407178528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
384 SE COMBS FLAT RD, Prineville, OR 97754
Open in Google Maps ↗

Other Names 1

Doing Business AsSt. Charles Family Care - Prineville

Other Identifiers 1

Medicaid500642552OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Charles Family Care - Prineville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

305

Medicare enrollment records show 305 clinicians reassign Medicare billing to St. Charles Family Care - Prineville, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Emergency Medicine49
Internal Medicine37
Hospitalist28
Pediatric Medicine27
Family Practice25
Nurse Practitioner25
Clinical Social Worker16
Neurology15
20 other specialties83

Nearest to this location (20)

See all 305
Carey Allen, MD
Family Practice
NPI 1770740094
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Brian Augustyn
Clinical Psychologist
NPI 1306095633
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Christopher Brubaker, MD
Family Practice
NPI 1306226451
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Marissa Bruno, DO
Family Practice
NPI 1073262986
384 SE COMBS FLAT RD
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Sarah Carver, FNP
Nurse Practitioner
NPI 1750751871
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Matthew Giordanengo, D.O.
Family Practice
NPI 1396039590
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Natalie Good, DO
Family Practice
NPI 1467731232
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Sarah Guest, MS, MSW
Clinical Social Worker
NPI 1902250285
384 SE COMBS FLAT RD
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Maggie King, MD
Family Practice
NPI 1457441586
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Anh Nguyen, DO
Family Practice
NPI 1124461462
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 447-6254
✔ PECOS✔ Accepts MedicareSame address
Gina Peach, FNP
Nurse Practitioner
NPI 1023734605
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Jenna Thiele, DO
Family Practice
NPI 1710407275
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 447-6263
✔ PECOS✔ Accepts MedicareSame address
Donna Hamlin, LPC
Mental Health Counselor
NPI 1962762518
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 815-2429
✔ PECOS✔ Accepts MedicareSame address
Kelly Valente, LMFT
Marriage and Family Therapist
NPI 1578016721
384 SE COMBS FLAT RD STE 1200
Prineville, OR 97754
(541) 477-6254
✔ PECOS✔ Accepts MedicareSame address
Douglas Gruzd, MD
Emergency Medicine
NPI 1043246069
1201 NE ELM
Prineville, OR 97754
(541) 447-6254
✔ PECOS1.2 mi
Brian Carter, D.O.
Emergency Medicine
NPI 1235581257
1253 NW CANAL BLVD
Redmond, OR 97756
(541) 548-8131
✔ PECOS✔ Accepts Medicare17 mi
Jeremy Johnson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144415233
1253 NW CANAL BLVD
Redmond, OR 97756
(541) 548-8131
✔ Accepts Medicare17 mi
Sean Dodge, PSY.D.
Clinical Psychologist
NPI 1922256809
211 NW LARCH AVE
Redmond, OR 97756
(541) 548-2164
✔ PECOS✔ Accepts Medicare17 mi
Alexa Loscutoff, LCSW, CADC II
Clinical Social Worker
NPI 1821308610
211 NW LARCH AVE
Redmond, OR 97756
(541) 548-2164
✔ PECOS✔ Accepts Medicare17 mi
Nathan Thompson, MD
Family Practice
NPI 1124287321
211 NW LARCH AVE
Redmond, OR 97756
(541) 548-2164
✔ PECOS✔ Accepts Medicare17 mi
See all 305 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0992699

St Charles Family Care Prineville · Prineville, OR
Active · expires Jan 26, 2027
CLIA Number38D0992699
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorIrene A. Czyszczon
Laboratory Phone(541) 706-2913
Laboratory LocationSt Charles Family Care Prineville384 SE Combs Flat Rd, Prineville, OR 97754
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Charles Health System, Inc.'s NPI number?

The NPI number for St. Charles Health System, Inc. is 1407178528. It was assigned to this organization in the NPPES registry on February 16, 2010. The provider is doing business as St. Charles Family Care - Prineville.

Where is St. Charles Health System, Inc. located?

St. Charles Health System, Inc. is located at 384 SE Combs Flat Rd Suite 1200, Prineville, OR 97754. The listed phone number is (541) 447-6263.

What is St. Charles Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is St. Charles Health System, Inc. enrolled in Medicare?

Yes. St. Charles Health System, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Charles Health System, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 305 clinicians in 28 Medicare specialties reassign their Medicare billing to St. Charles Health System, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (49), Internal Medicine (37) and Hospitalist (28). Of these, 14 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St. Charles Health System, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0992699) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Charles Health System, Inc. accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list St. Charles Health System, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Charles Health System, Inc. was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.