MAX KOIVISTO, NRAEMT — NPI 1194507772 (Licensed & Credentialed Emergency Medical Technician, Intermediate in BECKET, MA)

CMS-1500 Box 24J / 33a • NPI

1194507772

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

146M00000X

Licensed & Credentialed Emergency Medical Technician, Intermediate

Box 32 Service Location & ZIP+4

629 JACOBS LADDER ROAD, BECKET, MA, 01223

Official NPPES Practice Location

Practice Phone & Referral Fax

(413) 623-5027

Fax: (413) 623-2062

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194507772 (MAX KOIVISTO, NRAEMT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1194507772` (NPI-1 Individual Practitioner)
Provider / Legal Name	MAX KOIVISTO, NRAEMT
Plain-English Specialty	Licensed & Credentialed Emergency Medical Technician, Intermediate NUCC Code: `146M00000X` (Emergency Medical Technician, Intermediate)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	629 JACOBS LADDER ROAD, BECKET, MA, 01223
Practice Telephone / Fax	Tel: (413) 623-5027 \| Fax: (413) 623-2062
Administrative Mailing Address	557 MAIN ST, BECKET, MA, 01223-3252
Enumeration & Last Sync	Enumerated: 2023-10-18 \| CMS Record Updated: 2023-10-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

629 JACOBS LADDER ROAD, BECKET, MA, 01223

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Plain-English Taxonomy & CMS Crosswalk (146M00000X)

What Does Taxonomy Code 146M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 146M00000X translates to:
"Licensed & Credentialed Emergency Medical Technician, Intermediate"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Emergency Medical Technician, Intermediate for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MAX KOIVISTO, NRAEMT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`146M00000X` — Emergency Medical Technician, Intermediate Plain English: Licensed & Credentialed Emergency Medical Technician, Intermediate	State: MA \| License: `A0900516` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MAX KOIVISTO, NRAEMT (NPI #1194507772)