Rockford Emergency Ambulance – Ambulance, NPI 1720050826
Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Rockford Emergency Ambulance
Carol Stream Post Office, 550, East Fullerton Avenue, Carol Stream, Bloomingdale Township, DuPage County, Illinois, 60188, United States
CAROL STREAM, IL 601978750
Phone: (937) 424-3701
Fax: (937) 291-2971
Type: Mailing
204, South 1st Street, Downtown Rockford, Rockford, Rockford Township, Winnebago County, Illinois, 61104, United States
ROCKFORD, IL 611042033
Phone: (815) 987-5663
Type: Location
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: 2004-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (742 days ago).
Enrollment records
1
Earliest due date
2024-05-31
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 |
|---|---|---|---|---|
| O20041217000621 | O | Ambulance Service Supplier | IL | 2024-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 125,219 | 2,070 | $0 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 1,697 | 1,278 | $0 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,625 | 1,118 | $0 |
| A0433 | Advanced life support, level 2 (als 2) | 31 | 31 | $0 |
Insurance plans in this area (ZIP 60197)
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