Air Evac Lifeteam – Air Ambulance, NPI 1013990191
Air Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Air Evac Lifeteam
West Plains, Howell County, Missouri, 65775, United States
WEST PLAINS, MO 657750106
Phone:
Type: Mailing
690, West Hospital Road, Braxtons Siding, Paoli, Orange County, Indiana, 47454, United States
PAOLI, IN 47454
Phone: (812) 723-0157
Fax: (812) 723-5872
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: 2004-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (50 days away).
Enrollment records
1
Earliest due date
2026-07-31
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 |
|---|---|---|---|---|
| O20040831001139 | O | Ambulance Service Supplier | IN | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 |
|---|---|---|---|---|
| A0436 | Rotary wing air mileage, per statute mile | 35,088 | 67 | $0 |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 70 | 68 | $0 |
Insurance plans in this area (ZIP 65775)
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