Individual provider Active NPI

Aaron Catmull

  • Family Nurse Practitioner
  • Rupert, ID
National Provider Identifier
1891101937
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1434A Issued in ID
Practice address
1308 8TH St Ste 1
Rupert, ID 83350-1535
Phone
(208) 436-4322
Fax
(208) 436-1312
NPI assigned
Jul 9, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-1434A ID Primary

Addresses

Primary practice location

1308 8TH St Ste 1
Rupert, ID 83350-1535

Mailing address

1224 8TH Street
Rupert, ID 83350-1527
Phone (208) 434-8236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20140916000908 ID Practitioner - Nurse Practitioner 4789803289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minidoka Memorial HospitalGroup PAC ID 7315908894, 38 clinicians

Practice addresses (Care Compare)

1218 9TH St
Suite 10
Rupert, ID 83350-2207
Phone (208) 436-8340

1224 8TH St
Rupert, ID 83350-1527
Phone 20843604813167

1308 8TH St
Suite 1
Rupert, ID 83350-1535
Phone 20843604813167

711 G St
Rupert, ID 83350-1612

90 W 142
Rupert, ID 83350-9384

Hospital & facility affiliations

  • Minidoka Memorial Hospital Hospital, Rupert, ID, CCN 131319
  • Cassia Regional Hospital Hospital, Burley, ID, CCN 131326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-1434AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minidoka Memorial Hospital Family CurrentSince Aug 6, 2014 Accepting new patients
Minidoka Memorial Hospital CurrentSince Aug 6, 2014 Accepting new patients
Minidoka Memorial Hospital Past Accepting new patients

Locations

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

1308 8th St
Ste 1
Rupert, ID 83350
Phone (208) 436-4322

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1891101937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 8TH STREET",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501527",
            "telephone_number": "208-434-8236",
            "fax_number": "208-436-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 8TH ST STE 1",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501535",
            "telephone_number": "208-436-4322",
            "fax_number": "208-436-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATMULL",
        "first_name": "AARON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1434A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

Verify at the official NPI Registry.