Active NPI
Village of Sussex
- Land Ambulance
- Sussex, WI
National Provider Identifier
1477650687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF SUSSEX
- Practice address
- N63W24335 Main St
Sussex, WI 53089-3034 - Phone
- (262) 246-5197
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashton Bonville
- Title
- Lieutenant
- Phone
- (262) 246-5197
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
N63W24335 Main St
Sussex, WI 53089-3034
Mailing address
N64W23760 Main St
Sussex, WI 53089-3120
Phone (262) 246-5197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070223000589 | WI | Part B Supplier - Ambulance Service Supplier | 3577665405 | Practice locations: Sussex, WI |
National Provider Directory
National Provider DirectoryLocations
N63W24335 Main St
Sussex, WI 53089
Phone (262) 246-5197
N64W23760 Main St
Sussex, WI 53089
Phone (262) 246-5197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1477650687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N64W23760 MAIN ST",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893120",
"telephone_number": "262-246-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N63W24335 MAIN ST",
"city": "SUSSEX",
"state": "WI",
"postal_code": "530893034",
"telephone_number": "262-246-5197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF SUSSEX",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A",
"authorized_official_last_name": "BONVILLE",
"authorized_official_first_name": "ASHTON",
"authorized_official_title_or_position": "LIEUTENANT",
"authorized_official_telephone_number": "262-246-5197"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sussex, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.