PARAGON ANESTHESIA LLC
NPI 1831996545
Nurse Anesthetist, Certified Registered in Idaho Falls, ID

Q: What is Paragon Anesthesia LLC's NPI number?

The NPI number for Paragon Anesthesia LLC is 1831996545. It was assigned to this organization in the NPPES registry on February 28, 2025.

Q: What is Paragon Anesthesia LLC's specialty?

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

Active since February 28, 2025

2001 S WOODRUFF AVE STE 6, IDAHO FALLS, ID 83404(208) 715-8220(208) 715-8221 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Paragon Anesthesia Llc NPPES

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

PARAGON ANESTHESIA LLC (NPI 1831996545) is a healthcare organization registered as a nurse anesthetist, certified registered in Idaho Falls, Idaho and active in the NPI registry since February 2025. The organization lists Jaron Polatis, Owner, as its authorized official.

NPPES Registry Identity

NPI1831996545

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NamePARAGON ANESTHESIA LLC

Location Address2001 S WOODRUFF AVE STE 6Idaho Falls, ID 83404-6371

Mailing AddressPo Box 2523Idaho Falls, ID 83403-2523 · (800) 338-5378 · Fax (208) 523-8978

Phone(208) 715-8220

Fax(208) 715-8221

Organization SubpartNo

Authorized OfficialJaron PolatisOwner · (208) 709-6300

Enumeration DateFebruary 28, 2025

NPPES CertifiedFebruary 28, 2025

✔ NPI 1831996545 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

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.

2001 S WOODRUFF AVE STE 6, Idaho Falls, ID 83404

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paragon Anesthesia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Paragon Anesthesia LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Trevor Drake, CRNA, MHS

Certified Registered Nurse Anesthetist (CRNA)

NPI 1760884803

3100 CHANNING WAY
Idaho Falls, ID 83404

(208) 529-6264

✔ PECOS✔ Accepts Medicare3.1 mi

Jaron Polatis

Certified Registered Nurse Anesthetist (CRNA)

NPI 1225676000

3100 CHANNING WAY
Idaho Falls, ID 83404

(208) 529-6264

✔ PECOS✔ Accepts Medicare3.1 mi

Tanner Webster, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1962925180

1900 N HIGLEY RD
Gilbert, AZ 85234

(480) 543-2600

✔ PECOS✔ Accepts Medicare699 mi

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

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 Paragon Anesthesia LLC's NPI number?

The NPI number for Paragon Anesthesia LLC is 1831996545. It was assigned to this organization in the NPPES registry on February 28, 2025.

Where is Paragon Anesthesia LLC located?

Paragon Anesthesia LLC is located at 2001 S Woodruff Ave Ste 6, Idaho Falls, ID 83404. The listed phone number is (208) 715-8220.

What is Paragon Anesthesia LLC's specialty?

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

Is Paragon Anesthesia LLC enrolled in Medicare?

Yes. Paragon Anesthesia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paragon Anesthesia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Paragon Anesthesia LLC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Paragon Anesthesia LLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.