UNIVERSITY AMBULANCE SERVICE
NPI 1255457057
Ambulance - Land Transport in University Park, PA

Active since March 22, 2007CLIA 39D2136433 · Waiver
542 EISENHOWER RD., 109 STUDENT HEALTH CTR, UNIVERSITY PARK, PA 16802(814) 865-1772(814) 865-7778 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2025, Sep 17, 2024, Sep 12, 2024 and 2 more (5 updates tracked since 2017).

About University Ambulance Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY AMBULANCE SERVICE (NPI 1255457057) is a healthcare organization registered as a land transport in University Park, Pennsylvania and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Natahsha Baumgartner, Asst. Director Of Uhs Operations, as its authorized official.

NPPES Registry Identity

NPI1255457057
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameUNIVERSITY AMBULANCE SERVICE
Location Address542 EISENHOWER RD., 109 STUDENT HEALTH CTRUniversity Park, PA 16802-2129
Mailing Address542 Eisenhower Rd, 123 Student Health CtrUniversity Park, PA 16802-4601 · (814) 865-1772 · Fax (814) 865-7778
Fax(814) 865-7778
Organization SubpartYesParent: Pennsylvania State University
Authorized OfficialNatahsha BaumgartnerAsst. Director Of Uhs Operations · (814) 865-3585
Enumeration DateMarch 22, 2007
Last NPPES UpdateMay 16, 20255 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1255457057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in PA · 04084
542 EISENHOWER RD., University Park, PA 16802

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Ambulance Service is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StatePennsylvaniaEnrollment IDO20071130000020Non-DME Part B · Ambulance Service SupplierDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2136433

Pennsylvania State University Office Of, The Ems Dba University Ambulance Service · University Park, PA
Active · expires Sep 10, 2027
CLIA Number39D2136433
Laboratory TypeAmbulance
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorDavid J. Jones
Laboratory Phone(814) 865-1772
Laboratory LocationPennsylvania State University Office Of, The Ems Dba University Ambulance Service123 Student Health Center, University Park, PA 16802
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
63 services35 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
20 services20 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
15 services15 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
542 EISENHOWER RD., 308 STUDENT HEALTH CENTER
UNIVERSITY PARK, PA 16802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Ambulance Service's NPI number?

The NPI number for University Ambulance Service is 1255457057. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is University Ambulance Service located?

University Ambulance Service is located at 542 Eisenhower Rd. 109 Student Health Ctr, University Park, PA 16802. The listed phone number is (814) 865-1772.

What is University Ambulance Service's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Is University Ambulance Service enrolled in Medicare?

Yes. University Ambulance Service is registered in the Medicare PECOS enrollment system.

When is University Ambulance Service's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Ambulance Service Supplier) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does University Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2136433) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Ambulance Service was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.