TOWN OF ST. JOHN – Land Ambulance, NPI 1619970860

TOWN OF ST. JOHN is a healthcare provider. based in Saint john, Indiana. specializing in Land Ambulance. The organization holds a License No. 0566 (IN). The NPI Number for TOWN OF ST. JOHN is 1619970860

Main info

Organization
Name
TOWN OF ST. JOHN
NPI
1619970860
Phone
(219) 365-6034
Address
10955 W 93RD AVE
Authorized Official
MR. SHANE ADAMS FIRE CHIEF
Enumeration Date
23 May 2005
Deactivation Date
11 November 2022
Reactivation Date
14 December 2022
Last Update Date
9 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for TOWN OF ST. JOHN

  • West 93rd Avenue, Saint John, St. John, Lake County, Indiana, 46373, United States

    SAINT JOHN, IN 463737809

    Phone: (219) 365-6034

    Fax: (219) 558-2080

    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: 2004-06-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040616001549OAmbulance Service SupplierINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A0425Ground mileage, per statute mile38,539409$0
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)435347$0
A0429Ambulance service, basic life support, emergency transport (bls-emergency)10991$0
View full utilization report →

Insurance plans in this area (ZIP 46373)

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Reviews

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Frequently asked questions

Can I cross-check TOWN OF ST. JOHN using NPI 1619970860?
NPI 1619970860 belongs to TOWN OF ST. JOHN; compare other details if you need extra assurance.
Is there an active status for TOWN OF ST. JOHN?
For scheduling context, TOWN OF ST. JOHN is shown as active in the registry.
What kind of doctor is TOWN OF ST. JOHN?
TOWN OF ST. JOHN is associated with Land Ambulance in the directory — Clinical services aligned with this taxonomy classification.
Is TOWN OF ST. JOHN located near Saint John?
TOWN OF ST. JOHN currently maps to Saint John, Indiana in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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