Xwa 2024 LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

XWA 2024 LLC

Doing business as

Williston Care Flight

Practice address

14151 Commerce Dr
Williston, ND 58801-8018

Phone

(608) 577-5698

NPI assigned

Feb 12, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacob Keller

Title

President

Phone

(608) 577-5698

Specialties & licenses 2

Addresses

Other names 1

• Williston Care Flight Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1013722339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 AIR CARGO DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582038944",
            "telephone_number": "608-577-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14151 COMMERCE DR",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588018018",
            "telephone_number": "608-577-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XWA 2024 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-577-5698"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williston Care Flight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Elizabeth Wolf, APRN
• Madison Brianna Wooten
• Workpartners of Williston
• Ronald Aaron Wright, DC DOCTOR OF CHIROPR
• Valerie Wrolson, RN,BSN
• James C Yockim, MSW, LICSW,
• Keith D Zahn, CRNA
• Amy Zamzo
• Zander Counseling Services
• Joan M Zander, LICSW

• Air Ambulance in Williston, ND
• Providers in Williston, ND by specialty
• Air Ambulance in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.