NPIMap

Organization Active NPI

US Department of the Interior, National Park Service

Doing business as Yellowstone National Park - EMS

  • Land Ambulance
  • Yellowstone National Park, WY
National Provider Identifier
1063574663
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
US DEPARTMENT OF THE INTERIOR, NATIONAL PARK SERVICE
Doing business as
Yellowstone National Park - EMS
Practice address
201 Barracks St
Yellowstone National Park, WY 82190-5000
Phone
(307) 344-2148
NPI assigned
Dec 14, 2006
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Mark John Jermusyk
Title
EMS Program Specialist
Phone
(307) 272-7712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

201 Barracks St
Yellowstone National Park, WY 82190-5000

Mailing address

PO Box 911
Yellowstone National Park, WY 82190

Other identifiers 2

IdentifierTypeStateIssuer
312603OtherWYBLUE CROSS OF WYOMING
0442204MedicaidMT

Other names 2

  • Yellowstone National Park - EMS Doing business as
  • Yellowstone National Park Emergency Medical Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000272 WY Part B Supplier - Ambulance Service Supplier 7911803754 Practice locations: Yellowstone National Park, WY

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
US Department of the Interior National Park Service7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1063574663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "YELLOWSTONE NATIONAL PARK",
            "state": "WY",
            "postal_code": "82190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BARRACKS ST",
            "city": "YELLOWSTONE NATIONAL PARK",
            "state": "WY",
            "postal_code": "821905000",
            "telephone_number": "307-344-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US DEPARTMENT OF THE INTERIOR, NATIONAL PARK SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "JERMUSYK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "EMS PROGRAM SPECIALIST",
        "authorized_official_telephone_number": "307-272-7712"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF WYOMING",
            "identifier": "312603",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442204",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yellowstone National Park - EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yellowstone National Park Emergency Medical Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yellowstone National Park, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.