Organization Active NPI

Med Stat Ambulance LLC

  • Land Ambulance
  • Murfreesboro, TN
National Provider Identifier
1649510918
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
10211 Issued in TN
Legal business name
MED STAT AMBULANCE LLC
Practice address
1022 Samsonite Blvd
Suite B
Murfreesboro, TN 37129-4233
Phone
(615) 927-0770
Fax
(615) 904-0303
NPI assigned
Feb 25, 2013
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Aaron M Wasik
Title
Director
Phone
(407) 414-4214

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 10211 TN Primary
Land Ambulance 3416L0300X 10212 TN

Addresses

Primary practice location

1022 Samsonite Blvd
Suite B
Murfreesboro, TN 37129-4233

Mailing address

136 Winstead LN
Manchester, TN 37355-3113
Phone (407) 414-4214

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130501000450 TN Part B Supplier - Ambulance Service Supplier 4183861669 Practice locations: Manchester, TN; Murfreesboro, TN

National Provider Directory

National Provider Directory

Locations

136 Winstead Ln
Manchester, TN 37355
Phone (615) 867-1001

1022 Samsonite Blvd
Ste B
Murfreesboro, TN 37129
Phone (615) 867-1001

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1649510918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WINSTEAD LN",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553113",
            "telephone_number": "407-414-4214",
            "fax_number": "615-904-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 SAMSONITE BLVD",
            "address_2": "SUITE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294233",
            "telephone_number": "615-927-0770",
            "fax_number": "615-904-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAT AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "WASIK",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-414-4214"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "10211",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "10212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.