Great Divide Ambulance Service
NPI 1689787715 · Land Ambulance · Cable, WI
Enrolled with Medicare as Part B Supplier - Ambulance Service Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Divide Ambulance Service is a Land Ambulance organization in Cable, WI (NPI 1689787715).
Provider details
- NPI number
- 1689787715
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Roy Bloom, Service Director(715) 798-3094
Specialties & taxonomies
Transportation Services
- Ambulance341600000X
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
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
22,383.3 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 | 22,053 | $10 |
| Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (als 1)A0426 | 164 | $393 |
| Advanced Life Support, Level 2 (als 2)A0433 | 97 | $903 |
| Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - Emergency)A0427 | 56 | $613 |
| Specialty Care Transport (sct)A0434 | 13 | $1,067 |
Typical Medicare-allowed amounts for these services range $10–$1,067 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Frequently asked questions
- What is Great Divide Ambulance Service's NPI number?
- Great Divide Ambulance Service's National Provider Identifier (NPI) is 1689787715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Divide Ambulance Service?
- Great Divide Ambulance Service is classified in the NPPES registry as Land Ambulance (Transportation Services).
- Where is Great Divide Ambulance Service located?
- Great Divide Ambulance Service's practice location on file with NPPES is 43555 US Highway 63, Cable, WI 54821-2000.
- What is Great Divide Ambulance Service's phone number?
- The practice phone number listed in the NPPES registry for Great Divide Ambulance Service is (715) 798-3094.
- Does Great Divide Ambulance Service accept Medicare?
- Great Divide Ambulance Service is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Divide Ambulance Service?
- The authorized official listed on Great Divide Ambulance Service's NPPES record is Roy Bloom, Service Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Divide Ambulance Service's NPI active?
- Yes — Great Divide Ambulance Service's NPI (1689787715) is active in the NPPES registry as of the last update on 2025-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.