PAUL DAVID COCHRAN – Certified Registered Nurse Anesthetist, NPI 1104477967

PAUL DAVID COCHRAN is a healthcare provider. based in Salt lake city, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 62753 (ID). The NPI Number for PAUL DAVID COCHRAN is 1104477967

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
PAUL DAVID COCHRAN
NPI
1104477967
Phone
(800) 945-9877
Address
PO BOX 3750
Enumeration Date
24 September 2019
Last Update Date
2 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083672152
Graduation Year
2019 (7 years ago)
PAC ID
2668804105
Group Practice PAC ID
7214849751
Professional Enrollment ID
I20191121000918
Address ID
ID837061309BO1055XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

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Provider Addresses for PAUL DAVID COCHRAN

  • PO BOX 3750

    SALT LAKE CITY, UT 841103750

    Phone: (800) 945-9877

    Type: Mailing

  • PO BOX 7411114

    CHICAGO, IL 606741114

    Phone: (208) 367-5170

    Fax: (208) 367-5180

    Type: Mailing

  • Saint Alphonsus Regional Medical Center, 1055, North Curtis Road, Boise Junction, Boise, Ada County, Idaho, 83706, United States

    BOISE, ID 837061309

    Phone: (208) 367-2559

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $200.

Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: MicroVention, Inc. ($200).

Total Amount

$200

General + Research + Ownership

Payments

1

Total payment records

General Amount

$200

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MicroVention, Inc.$200
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191121000918ICertified Registered Nurse Anesthetist (Crna)IDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214849751View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)HI
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YID
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What is the 10-digit NPI for PAUL DAVID COCHRAN?
PAUL DAVID COCHRAN — NPI 1104477967 — is the standard way to identify this listing.
Does the file indicate PAUL DAVID COCHRAN is practicing under active NPI?
Directory data currently reports PAUL DAVID COCHRAN as active.
What is PAUL DAVID COCHRAN's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for PAUL DAVID COCHRAN here. Clinical services aligned with this taxonomy classification.
What address line appears for PAUL DAVID COCHRAN?
PAUL DAVID COCHRAN's geographic hint is Salt Lake City, Utah in our summary view.
Why does PAUL DAVID COCHRAN have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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