Shakopee Mdewakanton Sioux Community
NPI 1700890134ActiveOrganization· Ambulance· Prior Lake, MN
Ambulance in Prior Lake, Minnesota, registered in NPPES in July 2006. The authorized official on file is Stanley Crooks, Ceo. Medicare paid $34,642 for services to 72 patients in 2024.
Overview
| NPI | 1700890134 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2006 |
| Last updated in NPPES | Jan 20, 2025 |
| Certified by provider | Jan 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ambulance Primary | 341600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Ambulance Service Supplier (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 658 across 5 procedure codes |
| Paid by Medicare | $34,642 |