NPI 1104526656 · Nurse Practitioner · Anthem
Moderate evidence supports active practice with 1 carrier network listing and verified licensure.
NPPES
LAKEWOOD, 80228
Freshness: Unknown
Network Status
Listed with 1 carrier
DORA License
Active
Medicare
Not enrolled in Medicare (PECOS)
176 beneficiaries
$2,852,290.68 total payment
Specialty: Nurse Practitioner
Care Compare
Address mismatch with NPPES
PECOS Enrollment
No PECOS data
Active NPI with specialty classification
Active Colorado DORA license confirmed
Active Medicare billing confirmed
Single address source (NPPES)
Weak network corroboration
1 network 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.