Individual provider Active NPI

Amelia L Aubuchon, FNP-C

  • Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1881246908
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019019656 Issued in MO
Practice address
70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619
Phone
(636) 916-9615
NPI assigned
Jul 9, 2019
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 2019019656 MO
Nurse Practitioner 363L00000X 2019019656 MO Primary

Addresses

Primary practice location

70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619

Mailing address

70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619
Phone (636) 916-9615

Other practice location 1

7334 S Lindbergh Blvd
Saint Louis, MO 63125-4522
Phone (314) 892-8352

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20191204001815 MO Practitioner - Nurse Practitioner 0941633093 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
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians

Practice addresses (Care Compare)

70 Jungermann Cir
Suite 201
Saint Peters, MO 63376-1619
Phone (636) 916-9615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019019656MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Physician Groups LC CurrentSince Jan 1, 2024 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Jun 17, 2021 Accepting new patients

Locations

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

7334 S Lindbergh Blvd
Saint Louis, MO 63125
Phone (314) 892-8352

70 Jungermann Cir
Ste 201
Saint Peters, MO 63376
Phone (636) 916-9525

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1881246908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JUNGERMANN CIR STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761619",
            "telephone_number": "636-916-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 JUNGERMANN CIR STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761619",
            "telephone_number": "636-916-9615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7334 S Lindbergh Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631254522",
            "country_code": "US",
            "telephone_number": "314-892-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUBUCHON",
        "first_name": "AMELIA",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019019656",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019019656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "70 Jungermann Cir Ste 201",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.