LIFESTAR EMERGENCY MEDICAL SERVICES, LLC
NPI 1366424707
Ambulance - Land Transport in West Bend, WI

Q: What is Lifestar Emergency Medical Services, LLC's specialty?

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

Active since November 18, 2005CLIA 52D0920667 · Waiver

279 S 17TH AVE STOP 8, WEST BEND, WI 53095(262) 335-9950(262) 335-9720 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2021, Mar 15, 2017 (2 updates tracked since 2017).

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About Lifestar Emergency Medical Services, Llc NPPES

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

LIFESTAR EMERGENCY MEDICAL SERVICES, LLC (NPI 1366424707) is a healthcare organization registered as a land transport in West Bend, Wisconsin and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through October 7, 2026, maintains 6 additional practice locations, and lists Michael L Krueger, President, as its authorized official.

NPPES Registry Identity

NPI1366424707

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameLIFESTAR EMERGENCY MEDICAL SERVICES, LLC

Location Address279 S 17TH AVE STOP 8West Bend, WI 53095-3001

Mailing AddressPo Box 113West Bend, WI 53095-0113 · (262) 335-9950 · Fax (262) 335-9720

Phone(262) 335-9950

Fax(262) 335-9720

Organization SubpartNo

Authorized OfficialMichael L KruegerPresident · (262) 335-9950

Enumeration DateNovember 18, 2005

Last NPPES UpdateAugust 13, 20212 updates tracked since enumeration

NPPES CertifiedAugust 13, 2021

✔ NPI 1366424707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

License✔ Licensed in WI · 6001359

279 S 17TH AVE STOP 8, West Bend, WI 53095

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Secondary Practice Locations 6

Location 1W7185 State Road 49Waupun, WI 53963-9026 · Phone (920) 345-1050

Location 2511 Main StFriendship, WI 53934-8015 · Phone (608) 339-8977

Location 3123 Weil DrSlinger, WI 53086-9375 · Phone (262) 644-8975

Location 4600 Beech StGrafton, WI 53024-1854 · Phone (262) 777-0784

Location 54345 Hwy 33 WWest Bend, WI 53095-9107 · Phone (262) 429-1189

Location 6240 N Water StColumbus, WI 53925-1539 · Phone (920) 350-0190

Other Identifiers 2

Medicaid41475100WI

Medicaid41353100WI

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 52D0920667

Lifestar Emergency Med Services LLC · West Bend, WI

Active · expires Oct 7, 2026

CLIA Number52D0920667

Laboratory TypeAmbulance

Certificate Effective DateOctober 8, 2024

Certificate Expiration DateOctober 7, 2026

Laboratory DirectorMichael L. Krueger

Laboratory Phone(262) 335-9950

Laboratory LocationLifestar Emergency Med Services LLC279 S 17th Avenue, Stop 8, West Bend, WI 53095

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.

62,615 services2,119 patients

Ambulance service, basic life support, non-emergency transport, (bls) A0428

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

1,189 services855 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.

1,040 services808 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.

960 services666 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

389 services365 patients

Specialty care transport (sct) A0434

Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.

36 services36 patients

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 Lifestar Emergency Medical Services, LLC's NPI number?

The NPI number for Lifestar Emergency Medical Services, LLC is 1366424707. It was assigned to this organization in the NPPES registry on November 18, 2005.

Where is Lifestar Emergency Medical Services, LLC located?

Lifestar Emergency Medical Services, LLC is located at 279 S 17th Ave Stop 8, West Bend, WI 53095. The listed phone number is (262) 335-9950.

What is Lifestar Emergency Medical Services, LLC's specialty?

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

Does Lifestar Emergency Medical Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0920667) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifestar Emergency Medical Services, LLC was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.