MedStar Mobile Healthcare – Land Ambulance, NPI 1710981774

MedStar Mobile Healthcare is a healthcare provider. based in Fort worth, Texas. specializing in Land Ambulance. The organization holds a License No. 220062 (TX). The NPI Number for MedStar Mobile Healthcare is 1710981774

Main info

Organization
Name
MedStar Mobile Healthcare
NPI
1710981774
Phone
(817) 923-3700
Address
2900 ALTA MERE DR
Authorized Official
MR. KENNETH J. SIMPSON CEO J.D. NRP
Enumeration Date
8 June 2005
Last Update Date
28 March 2022

Contacts

Secure Messaging
swagerty@medstar911.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness90
Years active:21State licenses:1Updated within 12 months

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Provider Addresses for MedStar Mobile Healthcare

  • 2900, Alta Mere Drive, Fort Worth, Tarrant County, Texas, 76116, United States

    FORT WORTH, TX 761164115

    Phone: (817) 923-3700

    Fax: (817) 632-0537

    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: 2012-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (984 days ago).

Enrollment records

1

Earliest due date

2023-09-30

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
O20120319000150OAmbulance Service SupplierTX2023-09-30

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 mile1,490,7269,736$0
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)8,7395,822$0
A0429Ambulance service, basic life support, emergency transport (bls-emergency)6,3323,836$0
A0428Ambulance service, basic life support, non-emergency transport, (bls)2,9382,255$0
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)421400$0
View full utilization report →

Insurance plans in this area (ZIP 76116)

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Reviews

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Frequently asked questions

What is the standard ID for MedStar Mobile Healthcare in the U.S.?
In the U.S., MedStar Mobile Healthcare is identified by NPI 1710981774.
Quick check: is MedStar Mobile Healthcare active?
Public NPPES data shows MedStar Mobile Healthcare with an active NPI status right now.
Which specialty label fits MedStar Mobile Healthcare?
NPPES ties MedStar Mobile Healthcare to Land Ambulance in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MedStar Mobile Healthcare?
MedStar Mobile Healthcare shows a connection to Fort Worth, Texas in registry-derived data.
Who maintains MedStar Mobile Healthcare's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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