LIBERTY AMBULANCE SERVICE INC – Land Ambulance, NPI 1407850159
Land Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LIBERTY AMBULANCE SERVICE INC
1626, Atlantic University Circle, Jacksonville, Duval County, Florida, 32207, United States
JACKSONVILLE, FL 322072227
Phone: (904) 805-0293
Fax: (904) 724-0226
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110505000227 | O | Ambulance Service Supplier | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 125,265 | 1,038 | $0 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 578 | 571 | $0 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 313 | 297 | $0 |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 120 | 120 | $0 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 94 | 94 | $0 |
Insurance plans in this area (ZIP 32207)
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