Active NPI
Med Stat Ambulance LLC
- Land Ambulance
- Murfreesboro, TN
National Provider Identifier
1649510918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 10211
- 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, 2025
- 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
- Aaron M Wasik
- Title
- Director
- Phone
- (407) 414-4214
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130501000450 | TN | Part B Supplier - Ambulance Service Supplier | 4183861669 | Practice locations: Manchester, TN; Murfreesboro, TN |
National Provider Directory
National Provider DirectoryLocations
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
- Caitlin Mealer
- Jennifer Lauren Means, RN
- Laura Dickey Meany, RPH
- Jessica Jean Meatte
- Kristie Mechoso, LPC-MHSP, LADAC II
- Med Transit of Middle Tennessee (Med Transit)
- Med-Source of Central Florida, Inc. (Med-source)
- Medical Electro-Therapeutics Inc (Rotech)
- Medical Group Stonecrest Pulmonology LLC (Stonecrest Gateway Primary Care)
- Medical Necessities & Services LLC
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.