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JARON KIRK POLATIS
NPI 1225676000
Nurse Anesthetist, Certified Registered in Idaho Falls, ID

Active since December 12, 2019PECOS EnrolledAccepts Medicare Assignment
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-6264 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2020, Dec 23, 2019, Dec 12, 2019 (3 updates tracked since 2019).

About Jaron Kirk Polatis NPPES

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

JARON KIRK POLATIS (NPI 1225676000) is an individual nurse anesthetist, certified registered in Idaho Falls, Idaho, licensed in Idaho (63244) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225676000
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJARON KIRK POLATIS
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address140 N Bassett RdIdaho Falls, ID 83402-5665
Phone(208) 529-6264
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 12, 2019
Last NPPES UpdateJanuary 17, 20203 updates tracked since enumeration
✔ NPI 1225676000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ID · 63244
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.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 9273443-3102 (UT)
3100 CHANNING WAY, Idaho Falls, ID 83404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Oscar Insurance Company, Select Health and more.Insurance ›

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

Jaron Kirk Polatis 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 ID8426484114
PECOS Enrollment IDI20200128001233, I20250226001342
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Jaron Polatis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mountain View Hospital LLC
0.4 mi
General Acute Care Hospital
2325 CORONADO ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 298 clinicians in this Medicare group
NPI 1669462362 (208) 557-2700
Paragon Anesthesia LLC
3.1 mi
Nurse Anesthetist, Certified Registered
2001 S WOODRUFF AVE STE 6
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1831996545 (208) 715-8220
Northstar Anesthesia Of Idaho PLLC
47 mi
Anesthesiology
777 HOSPITAL WAY
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 53 clinicians in this Medicare group
NPI 1912686882 (208) 239-1000
Teton Valley Health Care Inc
48 mi
Critical Access
120 E HOWARD AVE
Driggs, ID 83422
  • Reassigned Medicare billing, Idaho enrollment
  • 57 clinicians in this Medicare group
NPI 1477809622 (208) 354-2383
Grant County Public Hospital District 1
434 mi
General Acute Care Hospital
2000 S CLOVER DR
Moses Lake, WA 98837
  • Reassigned Medicare billing, Washington enrollment
  • 158 clinicians in this Medicare group
NPI 1902818883 (509) 765-5606
North Iowa Mercy Clinics
922 mi
Family Medicine
635 E US HIGHWAY 9
Forest City, IA 50436
  • Reassigned Medicare billing, Iowa enrollment
  • 420 clinicians in this Medicare group
NPI 1811003015 (641) 585-2904

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.

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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.

CARL SAMUEL BRAYTON DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (714) 616-4454
WALLACE LEONARD ARAVE PT
Physical Therapist
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-7999
REED D LOERTSCHER CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6285
ALEXIS R SIDDOWAY NP
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4432
UNIVERSITY OF UTAH ADULT SERVICES
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (801) 581-2121
MR. VENKATA KALYAN C BYRAPOGU MD
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 970-1123
TAYLOR JAMES CARSON
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 670-0407
NOOR ASHRAF NASSEF DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6111

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 Jaron Polatis's NPI number?

The NPI number for Jaron Polatis is 1225676000. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Jaron Polatis located?

Jaron Polatis practices at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-6264.

What is Jaron Polatis's specialty?

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

Is Jaron Polatis enrolled in Medicare?

Yes. Jaron Polatis 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 Jaron Polatis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaron Polatis reassigns Medicare benefits to 6 organizations: Mountain View Hospital LLC (Idaho Falls, ID), Paragon Anesthesia LLC (Idaho Falls, ID), Northstar Anesthesia Of Idaho PLLC (Pocatello, ID), Teton Valley Health Care Inc (Driggs, ID), Grant County Public Hospital District 1 (Moses Lake, WA) and 1 more organization, listed in the Medicare section above. 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 Jaron Polatis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaron Polatis accept?

Health plans from Moda Health Plan, Inc., Oscar Insurance Company, Select Health and Wellmark Health Plan of Iowa, Inc. list Jaron Polatis 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.

Is Jaron Polatis affiliated with any hospitals?

According to CMS data, Jaron Polatis is affiliated with Mercyone North Iowa Medical Center.

When was this NPI record last updated?

The NPPES record for Jaron Polatis was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.