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PAUL DAVID COCHRAN
NPI 1104477967
Nurse Anesthetist, Certified Registered in Boise, ID

Active since September 24, 2019Accepts Medicare Assignment
1055 N CURTIS RD, BOISE, ID 83706(208) 367-2559 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2023, Sep 24, 2019 (2 updates tracked since 2019).

About Paul David Cochran NPPES

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

PAUL DAVID COCHRAN (NPI 1104477967) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (62753) and active in the NPI registry since September 2019. He is affiliated with Saint Alphonsus Regional Medical Center and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104477967
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NamePAUL DAVID COCHRAN
Location Address1055 N CURTIS RDBoise, ID 83706-1309
Mailing AddressPo Box 7411114Chicago, IL 60674-1114 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 367-2559
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 24, 2019
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1104477967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ID · 62753
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1055 N CURTIS RD, Boise, ID 83706
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul David Cochran is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668804105
PECOS Enrollment IDI20191121000918

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Cochran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boise Anesthesia, P A
Same address
Anesthesiology
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 71 clinicians in this Medicare group
NPI 1487602298 (208) 367-6416
St Alphonsus Professional Medical Services LLC
Same address
Anesthesiology
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 188 clinicians in this Medicare group
NPI 1386677524 (208) 367-6416

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAUREEN A NEWMAN M.D.
Family Medicine (Hospice and Palliative Medicine)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 302-5480
JESSICA A EVERT MD
Family Medicine
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-7350
KRISTIE KAES LCSW
Social Worker (Clinical)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2121
DR. MICHEAL GEORGE ADONDAKIS MD
Radiology (Diagnostic Radiology)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2121
JACQUELINE STEAN
Nurse Practitioner
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-3221
DR. JAMES ROBERT POLK MD
Internal Medicine (Rheumatology)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-3104
MATTHEW JUDD D.O.
Emergency Medicine
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 322-1730
IAN MICHAEL WOOD PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2166

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 Paul Cochran's NPI number?

The NPI number for Paul Cochran is 1104477967. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Paul Cochran located?

Paul Cochran practices at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 367-2559.

What is Paul Cochran's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Paul Cochran enrolled in Medicare?

Yes. Paul Cochran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Paul Cochran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Cochran reassigns Medicare benefits to 2 organizations: Boise Anesthesia, P A (Boise, ID) and St Alphonsus Professional Medical Services LLC (Boise, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Cochran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paul Cochran affiliated with any hospitals?

According to CMS data, Paul Cochran is affiliated with Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Cochran was last updated on October 2, 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.