This provider appears on OIG LEIE federal exclusion list. Reason: License revocation or suspension. Exclusion date: 2025-05-20.
Listing this provider in a network directory may constitute a compliance violation and expose the carrier to civil monetary penalties.
NPI 1639157472 · Nurse Practitioner - Neonatal · Kpic
Provider appears on federal exclusion list while listed in 2 active carrier networks.
NPPES
BOULDER, 80303
Freshness: Unknown
Network Status
Listed with 2 carriers
DORA License
Surrendered
Medicare
Not enrolled in Medicare (PECOS)
Care Compare
No Care Compare data
Federal Exclusion
License revocation or suspension
Source: OIG LEIE
Excluded since: 2025-05-20
Automatic "confirmed" ghost indicator
PECOS Enrollment
Active NPI with specialty classification
DORA license expired or revoked
No Medicare billing · No electronic endpoint · No PECOS enrollment
Single address source (NPPES)
Limited carrier network presence
2 networks across 1 carrier
Listed in 2 carrier networks despite federal exclusion — carriers may not be aware of exclusion status.
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.
No PECOS data