NPI 1003205295 · Nurse Practitioner - Family · Kpic
Evidence across dimensions is contradictory — supporting and opposing signals are present.
NPPES
DENVER, 80220
Freshness: Stale (last updated 2022-12-05)
1,187 days since update
Network Status
Listed with 2 carriers
DORA License
Active
Medicare
Not enrolled in Medicare (PECOS)
Care Compare
Address mismatch with NPPES
PECOS Enrollment
No PECOS data
Active NPI with specialty classification
Active Colorado DORA license confirmed
No Medicare billing · No electronic endpoint · No PECOS enrollment
Single address source (NPPES)
Limited carrier network presence
2 networks across 1 carrier
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.