AIR EVAC LIFETEAM
NPI 1760061618
Ambulance - Air Transport in Grove, OK

Q: What is Air Evac Ems, Inc.'s NPI number?

The NPI number for Air Evac Ems, Inc. is 1760061618. It was assigned to this organization in the NPPES registry on April 7, 2021. The provider is doing business as Air Evac Lifeteam.

Q: What is Air Evac Ems, Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Air Transport, with taxonomy code 3416A0800X.

Active since April 07, 2021CLIA 37D2231115 · Waiver

872 E 11TH ST, GROVE, OK 74344(877) 288-5340(417) 257-5761 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2023, May 24, 2021, Apr 7, 2021 (3 updates tracked since 2021).

On this page

About Air Evac Lifeteam NPPES

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

AIR EVAC LIFETEAM (NPI 1760061618) is a healthcare organization registered as an air transport in Grove, Oklahoma and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Eric Thomas, Senior Vice President Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1760061618

Entity TypeOrganization

Primary Taxonomy3416A0800X

Legal Business NameAIR EVAC EMS, INC.

Location Address872 E 11TH STGrove, OK 74344-2965

Mailing AddressPo Box 106West Plains, MO 65775-0106 · (877) 288-5340 · Fax (417) 257-5761

Phone(877) 288-5340

Fax(417) 257-5761

Organization SubpartYes

Authorized OfficialEric ThomasSenior Vice President Revenue Cycle · (877) 288-5340

Enumeration DateApril 7, 2021

Last NPPES UpdateFebruary 10, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2023

✔ NPI 1760061618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Air TransportTransportation Services

Taxonomy Code3416A0800X

872 E 11TH ST, Grove, OK 74344

Open in Google Maps ↗

Other Names 1

Doing Business AsAir Evac Lifeteam

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Air Evac Lifeteam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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

StateOklahomaEnrollment IDO20040730001084Non-DME Part B · Ambulance Service SupplierDue dateNovember 30, 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 37D2231115

Air Evac Lifeteam 165 Air Evac Ems, Inc · Grove, OK

Active · expires Jul 29, 2027

CLIA Number37D2231115

Laboratory TypeMobile Laboratory

Certificate Effective DateJuly 30, 2025

Certificate Expiration DateJuly 29, 2027

Laboratory DirectorKenney Dalton

Laboratory Phone(918) 786-1024

Laboratory LocationAir Evac Lifeteam 165 Air Evac Ems, Inc872 E 11th Street, Grove, OK 74344

CLIA data matches this NPI record on: Address Name

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

Areas of Expertise CMS Part B claims 2

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.

Rotary wing air mileage, per statute mile A0436

Rotary wing air mileage refers to the distance covered by an air ambulance, specifically a helicopter, per statute mile. This service is crucial during emergencies where ground transport isn't fast or feasible. The cost is typically calculated based on the distance traveled.

6,147 services86 patients

Ambulance service, conventional air services, transport, one way (rotary wing) A0431

Ambulance service, conventional air services, transport, one way (rotary wing) refers to a medical evacuation using a helicopter. This service is typically used in emergencies when quick transport to a hospital is needed, or in situations where ground transport is not feasible.

93 services87 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 Air Evac Ems, Inc.'s NPI number?

The NPI number for Air Evac Ems, Inc. is 1760061618. It was assigned to this organization in the NPPES registry on April 7, 2021. The provider is doing business as Air Evac Lifeteam.

Where is Air Evac Ems, Inc. located?

Air Evac Ems, Inc. is located at 872 E 11th St, Grove, OK 74344. The listed phone number is (877) 288-5340.

What is Air Evac Ems, Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Air Transport, with taxonomy code 3416A0800X.

Is Air Evac Ems, Inc. enrolled in Medicare?

Yes. Air Evac Ems, Inc. is registered in the Medicare PECOS enrollment system.

When is Air Evac Ems, Inc.'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 (Oklahoma, Ambulance Service Supplier) is due for revalidation by November 30, 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 Air Evac Ems, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2231115) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Air Evac Ems, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Oklahoma list Air Evac Ems, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Air Evac Ems, Inc. was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.