Lifestar Emergency Medical Services, LLC
NPI 1366424707 · Land Ambulance · West Bend, WI
Enrolled with Medicare as Part B Supplier - Ambulance Service Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1366424707
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Michael Krueger, President(262) 335-9950
- License
- 6001359 (WI)
Specialties & taxonomies
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
66,229.8 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ground Mileage, Per Statute MileA0425 | 62,616 | $10 |
| Ambulance Service, Basic Life Support, Non-Emergency Transport, (bls)A0428 | 1,189 | $264 |
| Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - Emergency)A0427 | 1,040 | $506 |
| Ambulance Service, Basic Life Support, Emergency Transport (bls-Emergency)A0429 | 960 | $427 |
| Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (als 1)A0426 | 389 | $321 |
| Specialty Care Transport (sct)A0434 | 36 | $868 |
Practice location
Mailing address
Additional practice locations (6)
- 240 N Water StColumbus, WI 53925-1539Phone: (920) 350-0190
- 511 Main StFriendship, WI 53934-8015Phone: (608) 339-8977
- 600 Beech StGrafton, WI 53024-1854Phone: (262) 777-0784
- 123 Weil DrSlinger, WI 53086-9375Phone: (262) 644-8975
- W7185 State Road 49Waupun, WI 53963-9026Phone: (920) 345-1050
- 4345 Hwy 33 WWest Bend, WI 53095-9107Phone: (262) 429-1189
Registry dates
- Enumerated
- 2005-11-18
- Last updated
- 2021-08-13
- Certified
- 2021-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.