NPI 1679744601 · Physician Assistant - Surgical · Anthem
Evidence across dimensions is contradictory — supporting and opposing signals are present.
NPPES
LAFAYETTE, 80026
Freshness: Unknown
Network Status
Listed with 1 carrier
DORA License
Active
Medicare
Enrolled but no billing activity
Care Compare
No Care Compare data
PECOS Enrollment
Medicare enrolled
Active NPI with specialty classification
Active Colorado DORA license confirmed
No Medicare billing · No electronic endpoint
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.