NPI age
19 years
Enumerated 2006-07-09
● Active Type 2 · Organization
Intermountain Ambulatory Anesthesia Pllc
Intermountain Ambulatory Anesthesia Pllc is 1 of 152 anesthesiology organizations in Idaho.
Primary specialty
Anesthesiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Member
Last NPPES update
2022-02-23
Source: monthly bulk 2026-05
How this organization compares
Across 152 active anesthesiology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
875 S Vanguard Way
Meridian, ID 836428540
Mailing address
Po Box 3661
Seattle, WA 981243661
Authorized official
Kirk Miller, M.D.
Member
📞 2089600870
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Jesse Chlebeck, M.D. Orthopaedic Surgery NPI 1073879185
- Nicole Funk, PA-C Physician Assistant NPI 1669002721
- Brian Kittelson, DNP, ARNP, FNP-C Nurse Practitioner NPI 1730234345
- Mari Riley, MD Family Medicine NPI 1821108317
Specialties
-
Anesthesiology PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806036500 |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.