NORTHSTAR ANESTHESIA OF IDAHO PLLC
NPI 1912686882
Anesthesiology in Pocatello, ID

Active since July 17, 2023
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-1000 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2023, Jul 17, 2023 (2 updates tracked since 2023).

About Northstar Anesthesia Of Idaho Pllc NPPES

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

NORTHSTAR ANESTHESIA OF IDAHO PLLC (NPI 1912686882) is a healthcare organization registered as an anesthesiology in Pocatello, Idaho and active in the NPI registry since July 2023. The organization maintains 2 additional practice locations and lists Joshua Lumbley, Chief Quality Office, as its authorized official.

NPPES Registry Identity

NPI1912686882
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameNORTHSTAR ANESTHESIA OF IDAHO PLLC
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing Address6225 N State Highway 161 Ste 200Irving, TX 75038-2241
Organization SubpartNo
Authorized OfficialJoshua LumbleyChief Quality Office · (617) 935-5799
Enumeration DateJuly 17, 2023
Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1912686882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
777 HOSPITAL WAY, Pocatello, ID 83201

Secondary Practice Locations 2

Location 1333 N 18th Ave Ste CPocatello, ID 83201-3358 · Phone (208) 234-7800
Location 2151 Hospital Way, Bldg APocatello, ID 83201 · Phone (208) 232-6616

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)

Northstar Anesthesia Of Idaho Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Northstar Anesthesia Of Idaho PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)45
Anesthesiology8

Nearest to this location (20)

See all 53
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538941208
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194506477
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679215958
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093586158
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ Accepts MedicareSame address
Anesthesiology
NPI 1003966227
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659325330
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912247297
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1437860103
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 209-1000
✔ Accepts Medicare0.3 mi
Anesthesiology
NPI 1801851589
777 HOSPITAL WAY PORTNEUF HEART AND VASCULAR
Pocatello, ID 83201
(208) 239-2500
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003426701
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 716-7215
✔ Accepts Medicare0.3 mi
Anesthesiology
NPI 1760496533
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1225330954
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 232-7760
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457014334
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ Accepts Medicare0.3 mi
Anesthesiology
NPI 1073715090
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 232-7760
✔ PECOS✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750691929
1950 E CLARK ST SUITE G
Pocatello, ID 83201
(208) 232-7760
✔ Accepts Medicare0.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144652694
285 VISTA DR
Pocatello, ID 83201
(208) 478-1704
✔ Accepts Medicare0.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871925057
333 NORTH 18TH BLDG A
Pocatello, ID 83201
(208) 233-8880
✔ Accepts Medicare0.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568802569
333 N 18TH AVE STE A
Pocatello, ID 83201
(208) 232-7760
✔ PECOS✔ Accepts Medicare0.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972917987
333 N 18TH AVE STE A
Pocatello, ID 83201
(208) 233-8880
✔ Accepts Medicare0.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699268276
98 POPLAR ST
Blackfoot, ID 83221
(208) 785-4100
✔ PECOS✔ Accepts Medicare22 mi
See all 53 clinicians

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 Northstar Anesthesia Of Idaho PLLC's NPI number?

The NPI number for Northstar Anesthesia Of Idaho PLLC is 1912686882. It was assigned to this organization in the NPPES registry on July 17, 2023.

Where is Northstar Anesthesia Of Idaho PLLC located?

Northstar Anesthesia Of Idaho PLLC is located at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-1000.

What is Northstar Anesthesia Of Idaho PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Northstar Anesthesia Of Idaho PLLC enrolled in Medicare?

Yes. Northstar Anesthesia Of Idaho PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northstar Anesthesia Of Idaho PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 2 Medicare specialties reassign their Medicare billing to Northstar Anesthesia Of Idaho PLLC. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (45) and Anesthesiology (8). Of these, 4 practice at this address and 19 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 Northstar Anesthesia Of Idaho PLLC was last updated on October 10, 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.