LINCOLN COUNTY AMB DIST – Land Ambulance, NPI 1063419620

LINCOLN COUNTY AMB DIST is a healthcare provider. based in Troy, Missouri. specializing in Land Ambulance. The organization holds a License No. 113000 (MO). The NPI Number for LINCOLN COUNTY AMB DIST is 1063419620

Main info

Organization
Name
LINCOLN COUNTY AMB DIST
NPI
1063419620
Phone
(636) 528-8488
Address
PO BOX 157
Authorized Official
MR. RAY ANTONACCI CHIEF ADMINISTRATOR
Enumeration Date
28 June 2005
Last Update Date
7 January 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for LINCOLN COUNTY AMB DIST

  • 157, Detroit Road, Greens Corner, Troy, Waldo County, Maine, 04987, United States

    TROY, MO 633790157

    Phone: (636) 528-8488

    Fax: (636) 528-6828

    Type: Mailing

  • 1392, South 3rd Street, Troy, Lincoln County, Missouri, 63379, United States

    TROY, MO 63379

    Phone: (636) 528-8488

    Fax: (636) 528-6828

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2007-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (773 days ago).

Enrollment records

1

Earliest due date

2024-04-30

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
O20070529000498OAmbulance Service SupplierMO2024-04-30

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.

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 mile229,258619$0
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)618444$0
A0428Ambulance service, basic life support, non-emergency transport, (bls)157121$0
A0429Ambulance service, basic life support, emergency transport (bls-emergency)132108$0
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)113106$0
View full utilization report →

Insurance plans in this area (ZIP 63379)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to LINCOLN COUNTY AMB DIST?
The federal identifier for LINCOLN COUNTY AMB DIST is NPI 1063419620.
Is LINCOLN COUNTY AMB DIST currently active in the NPI registry?
CMS-published data lists LINCOLN COUNTY AMB DIST as an active registrant.
What field does LINCOLN COUNTY AMB DIST work in?
You can think of LINCOLN COUNTY AMB DIST as practicing within Land Ambulance. Clinical services aligned with this taxonomy classification.
Does LINCOLN COUNTY AMB DIST practice in Missouri?
You will see Troy, Missouri on file for LINCOLN COUNTY AMB DIST alongside any extra practice locations.
Is LINCOLN COUNTY AMB DIST a real provider?
This page reflects official NPPES data for NPI 1063419620. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

PO BOX 9150
NPI: 1285637058
Charleston, Lo Prado, Provincia de Santiago, Santiago Metropolitan Region, 8980000, Chile
NPI: 1548263478
South 25th Street, Bethany, Harrison County, Missouri, 64424, United States
NPI: 1922001254
West Ray Street, Sweet Springs, Saline County, Missouri, 65351, United States
NPI: 1528063138

Grand River Ambulance

Land Ambulance
GRAND RIVER REGIONAL AMBULANCE DISTRICT
NPI: 1659376176
113, Leewood Drive, Milan, Sullivan County, Missouri, 63556, United States
NPI: 1790781136
RR 3 BOX 10
NPI: 1578569802
Horrell Lane, High Ridge, Jefferson County, Missouri, 63049, United States
NPI: 1093711095