Organization Active NPI

Tree City Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Eagle, ID
National Provider Identifier
1538407366
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
TREE CITY ANESTHESIA ASSOCIATES PLLC
Practice address
100 Cottonwood CT # D150
Eagle, ID 83616-6576
Phone
(208) 917-2713
Fax
(208) 955-2029
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joshua L Coleman, CRNA, NSPM-CNPI 1982841573
Title
Partner
Phone
(208) 917-2713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

100 Cottonwood CT # D150
Eagle, ID 83616-6576

Mailing address

100 Cottonwood CT # D150
Eagle, ID 83616-6576
Phone (208) 917-2713

Other practice location 1

3085 E Magic View Dr Ste 140
Meridian, ID 83642-3757
Phone (208) 433-9300

Other practice location 2

1209 N Summerbrook Ave
Suite 110
Meridian, ID 83642
Phone (208) 907-0525

Other identifiers 1

IdentifierTypeStateIssuer
1538407366MedicaidID

Other names 3

  • Interventional Pain Associates Doing business as
  • Interventional Pain Associates, PA Doing business as
  • JC Anesthesia PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130325000081 ID Part B Supplier - Clinic/Group Practice 9133364086 Receives reassigned benefits from 7 practitioners
Practice locations: Eagle, ID; Meridian, ID

National Provider Directory

National Provider Directory

Locations

100 Cottonwood Ct
Ste D150
Eagle, ID 83616
Phone (208) 917-2713

3085 E Magic View Dr
Ste 140
Meridian, ID 83642
Phone (208) 229-9009

3327 N Eagle Rd
Ste 110
Meridian, ID 83646

1209 N Summerbrook Ave
Ste 110
Meridian, ID 83642
Phone (208) 907-0525

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1538407366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD CT # D150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166576",
            "telephone_number": "208-917-2713",
            "fax_number": "208-955-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COTTONWOOD CT # D150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166576",
            "telephone_number": "208-917-2713",
            "fax_number": "208-955-2029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3085 E Magic View Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836423757",
            "country_code": "US",
            "telephone_number": "208-433-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 N Summerbrook Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "83642",
            "country_code": "US",
            "telephone_number": "208-907-0525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TREE CITY ANESTHESIA ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "208-917-2713",
        "authorized_official_credential": "CRNA, NSPM-C"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538407366",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Pain Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interventional Pain Associates, PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JC Anesthesia PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.