Grand River Ambulance – Land Ambulance, NPI 1659376176
Land Ambulance
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Grand River Ambulance
GRAND RIVER REGIONAL AMBULANCE DISTRICT
810 N ALANTHUS AVE.
STANBERRY, MO 64489
Phone: (660) 783-2430
Fax: (660) 783-2804
Type: Location
130, West 1st Street, Stanberry, Gentry County, Missouri, 64489, United States
STANBERRY, MO 644891161
Phone: (660) 783-2430
Fax: (660) 783-9004
Type: Mailing
PO BOX 105
STANBERRY, MO 64489
Phone: (660) 783-2430
Fax: (660) 783-2804
Type: Mailing
810 N ALANTHUS AVE
STANBERRY, MO 644891020
Phone: (660) 783-2430
Fax: (660) 783-2804
Type: Mailing
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: 2006-05-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060502000743 | O | Ambulance Service Supplier | MO | 2024-04-30 |
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.
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 | 127,136 | 221 | $0 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 183 | 140 | $0 |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 96 | 86 | $0 |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 41 | 31 | $0 |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 39 | 33 | $0 |
Insurance plans in this area (ZIP 64489)
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