Emergency Medical Services

Division Chief of Emergency Medical Services 
James Macky
Division Chief James Macky is a 20 veteran of the Noblesville Fire Department. Chief Macky supervises the 91 EMT's and 37 Paramedics that work for the NFD. He is assisted by an EMS Captain and 3 Community Resource Paramedics.

Our Mission

The Noblesville Fire Department EMS Division, led by Division Chief James Macky, is committed to providing exceptional Emergency Medical Services (EMS) to the communities we serve. Through education, training, and excellent medical direction, our Emergency Medical Technicians and Paramedics are fully capable of handling any medical or trauma emergency. We will always be devoted to mitigating human pain and suffering as well as improving the health of our community. 

The EMS Division will accomplish these goals by:

  • Employing personnel who are committed to their profession as EMS providers
  • Providing personnel with the best tools to do the job
  • Striving to stay in the forefront of advancements in the field of pre-hospital medicine


The Noblesville Fire Department has been providing EMS services to our community in various formats over the years. In 1998, the department started providing Basic Life Support (BLS) and transport services to our community in conjunction with Advanced Life Support (ALS) Services from Riverview Health. In 1999, our organization was certified as an Advanced Life Support Provider by the State of Indiana, allowing us to provide both BLS and ALS services.

We currently employ 91 Emergency Medical Technicians (EMT) and 37 Paramedics who respond to approximately 3,880 medical emergencies per year and also fill the role of firefighters. Staffing typically consists of ALS engines and BLS ambulances. Our personnel are highly trained and function under the Medical Direction of Dr. Greg Faris. Along with progressive protocols, we provide 12 lead ECG acquisition and transmission, EtCO2 monitoring, CO monitoring, CPAP, the King Vision Video Laryngoscope System, EZ-IO, and the Lucas Compression Device to deliver superior care to our patients. We also strive to constantly improve the services we provide through training, education, and Quality Assurance and Quality Improvement programs. 

Special Operations

  • Tactical paramedics assigned to the Noblesville/Westfield Police Department Emergency Services Unit                                    
  • Paramedics trained in rescue diving operations assigned to the Noblesville Fire Department Dive Team
  • Special event coverage
    Mission Lifeline active assailant
Emergency Medical Services 
EMS Duty Officers
EMS Duty Officers
EMS Duty Officers
Anson Herrington Smith Livingston Gates
Anson Herrington Nate Smith Kevin Livingston Josh Gates

EMS Billing

The Noblesville Fire Department utilizes the MedBill Corporation for EMS claims management.

  • Pay Bills online via MedBill's Web Portal
  • For billing questions, to submit insurance information, or to pay your ambulance bill call: 317-849-6628 ext. 1
  • For accounts in collections call: 317-708-7131
  • To obtain a copy of your EMS medical record please call 317-770-1419 ext. 4
  • For a list of current ambulance fees, click here.
  • To apply for financial hardship, please fill out this application and mail in the completed application to the address provided on the form.

Star of Life

Patient Rights and HIPAA Mission Statement

As a hybrid entity under the Health Insurance Portability and Accountability Act (HIPAA), the Noblesville Fire Department (NFD) is committed and obligated to making every effort to ensure the highest level of privacy and security of our patients' health information. NFD has worked diligently to comply with HIPAA rules and regulations under the Privacy Rule and Security Rules. NFD has appointed a HIPAA Privacy and Security officer, established an employee training program, developed and implemented privacy and security policies and procedures, and worked with our business associates and vendors to achieve compliance. Additionally, the Noblesville Fire Department is committed to accurate and timely electronic claims processing.

For additional information, please read through the Noblesville Fire Department Notice of Privacy Practices, or contact:

James Macky
EMS HIPAA Compliance and Privacy Officer
Noblesville Fire Department
135 S. 9th St.
Noblesville, IN 46060
317-770-6336 ext. 1451