CITY OF EVANSVILLE — NPI 1376597922 (Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance in EVANSVILLE, WI)

CMS-1500 Box 24J / 33a • NPI

1376597922

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3416L0300X (CMS 59)

Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance

Box 32 Service Location & ZIP+4

31 S MADISON ST, EVANSVILLE, WI, 53536-1317

✓ 9-Digit EDI 837 ZIP+4 (53536-1317)

Practice Phone & Referral Fax

(608) 882-2269

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1376597922 (CITY OF EVANSVILLE) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1376597922)

Medicare Beneficiaries

Total Billed Services

2,886.1

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$88,431.83

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`A0425`	Ground mileage, per statute mile	2,749.1
`A0427`	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	73
`A0429`	Ambulance service, basic life support, emergency transport (bls-emergency)	63

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1376597922` (NPI-2 Organization / Facility)
Provider / Legal Name	CITY OF EVANSVILLE
Plain-English Specialty	Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance NUCC Code: `3416L0300X` (Ambulance, Land Transport)
Certifying / Licensing Body	State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Practice Location Address	31 S MADISON ST, EVANSVILLE, WI, 53536-1317
Practice Telephone / Fax	Tel: (608) 882-2269
Administrative Mailing Address	PO BOX 76, EVANSVILLE, WI, 53536-0076
Enumeration & Last Sync	Enumerated: 2006-05-19 \| CMS Record Updated: 2008-06-16
Authorized Official	MARY BEAVER (Coordinator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

31 S MADISON ST, EVANSVILLE, WI, 53536-1317

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Plain-English Taxonomy & CMS Crosswalk (3416L0300X)

What Does Taxonomy Code 3416L0300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3416L0300X translates to:
"Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 59 (Ambulance Service Provider)
Certifying / Accrediting Authority: State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Clinical Scope: Emergency 911 pre-hospital medical response or medically supervised inter-hospital critical care transport.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CITY OF EVANSVILLE)

Typical CPT / Diagnostic Procedures:

Advanced Life Support (ALS) Pre-Hospital Cardiac Monitoring & Defibrillation
Pre-Hospital Trauma Immobilization, Airway Management & IV Access

Common Therapeutic Classes:

Pre-Hospital Epinephrine, Aspirin, Nitroglycerin, Naloxone & Albuterol

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3416L0300X` — Ambulance, Land Transport Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CITY OF EVANSVILLE (NPI #1376597922)