Emergency Medical Services


Division Chief of Emergency Medical Services James Macky is a 24-year veteran of the Noblesville Fire Department. Chief Macky oversees the EMS Division, which consists of 104 EMTs, 43 paramedics, 8 ALS-certified fire apparatus, and 4 ALS-certified ambulances. He is assisted by an EMS Captain and 3 EMS Duty Officers.

Our Mission

The Noblesville Fire Department EMS Division is committed to providing exceptional Emergency Medical Services (EMS) and Mobile Integrated Healthcare (MIH) to our community. Through education, training, and progressive medical direction, our emergency medical technicians and paramedics are prepared and capable of handling any medical or trauma emergency. We are committed and 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 at the forefront of advancements in the field of pre-hospital emergency medicine and mobile integrated healthcare.
  • Develop and sustain programs that provide our patients with resources to improve their health and safety.


The Noblesville Fire Department has provided EMS services to our community in various formats over the years. In 1998, the department started providing Basic Life Support (BLS) and transport services in conjunction with Advanced Life Support (ALS) Services from Riverview Health. In 1999, the department was certified as an Advanced Life Support Provider by the State of Indiana, allowing us to provide both BLS and ALS services. In 2020, during the height of the pandemic, the City of Noblesville moved forward with implementing a Mobile Integrated Healthcare (MIH) Program to address non-emergency needs in our community. The NobleACT program is a partnership between the Noblesville Fire Department and the Noblesville Police Department with a focus on mental health crisis response, substance abuse support, homelessness, fall prevention, and assisting those with chronic disease processes. Our goal is to assist our citizens in finding appropriate community resources, thereby reducing the burden on the 911 system. In 2021, the Noblesville Fire Department was officially recognized by the Indiana EMS Commission as having a Mobile Integrated Healthcare Program. We also received a $20,000 MIH grant through the Indiana Department of Homeland Security. This grant funds equipment, software, and patient education materials to improve our MIH services.

We currently employ 104 Emergency Medical Technicians (EMTs) and 43 Paramedics who respond to approximately 6,000 medical emergencies per year and are also cross-trained as firefighters. Staffing typically consists of ALS fire 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, Rapid Sequence Intubation (RSI), EZ-IO, and the Lucas Compression Device to deliver comprehensive care to our patients. We also strive to improve our services through training, education, and Quality Assurance/Quality Improvement programs.

Special Operations

  • Mobile Integrated Healthcare
  • 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
Emergency Medical Services 
EMS Duty Officers
EMS Duty Officers
EMS Duty Officers

Community Resource

Anson Herrington Smith Livingston Gates Parker
Anson Herrington Nate Smith Kevin Livingston Josh Gates Dennis Parker

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 
      • 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 Mission Lifeline

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 obligated and committed to ensuring the highest level of privacy and security of our patients' protected health information. We work diligently to comply with HIPAA rules and regulations and have done so by appointing a HIPAA Privacy/Security officer, establishing an employee training program, and implementing privacy and security policies/procedures. We also work with our business associates and vendors to achieve compliance. Additionally, the Noblesville Fire Department is committed to accurate and timely electronic claims processing.

James Macky
EMS HIPAA Compliance and Privacy Officer
Noblesville Fire Department
135 S. 9th St.
Noblesville, IN 46060
[email protected]

Anonymous HIPAA Reporting, call 317-770-2070
HIPAA Reporting Form, click HERE.