Individual provider Active NPI

Aaron J Carbutt, FNP-BC

  • Family Nurse Practitioner
  • Saint Charles, MO
National Provider Identifier
1508415811
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019032650 Issued in MO
Practice address
5 Shady Moss CT
Saint Charles, MO 63304-1214
Phone
(636) 299-1327
NPI assigned
Sep 9, 2019
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019032650 MO Primary
Paramedic 146L00000X P15252 MO

Addresses

Primary practice location

5 Shady Moss CT
Saint Charles, MO 63304-1214

Mailing address

1120 Shackelford Rd
Florissant, MO 63031-4369
Phone (314) 830-5805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250526000188 TX Practitioner - Nurse Practitioner 4688008808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General HospitalGroup PAC ID 9032023841, 2 clinicians

Practice addresses (Care Compare)

600 Hwy 349 N
Iraan, TX 79744-0665
Phone 43263925753431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P15252MOMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital CurrentSince Jul 1, 2025 Accepting new patients
General Hospital CurrentSince May 1, 2025 Accepting new patients
General Hospital CurrentSince May 1, 2025 Accepting new patients
General Hospital Past Accepting new patients

Organizations & group practices 4

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.

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1508415811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 SHACKELFORD RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314369",
            "telephone_number": "314-830-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHADY MOSS CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633041214",
            "telephone_number": "636-299-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBUTT",
        "first_name": "AARON",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019032650",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MO",
            "license": "P15252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.