CHARLES NAWROCKI

NPI 1861425795 · Certified Registered Nurse Anesthetist (CRNA) · Anthem

Provider Status Assessment

Needs Review

Carrier listings present but Colorado DORA license appears expired or revoked.

Confidence: High

Evidence: 22 items from 8 sources

Signals: 5 supporting · 1 opposing · 1 missing

Resolution: Carrier listings present but Colorado DORA license appears expired or revoked. Licensure concern outweighs network presence.

Data Source Signals

✓

NPPES

LOUISVILLE, 80027

Freshness: Unknown

✓

Network Status

Listed with 3 carriers

anthem_co — in_network (commercial)
kpic_co — in_network (commercial)
kaiser_co — in_network (commercial)

✗

DORA License

Expired

✓

Medicare

74 services

67 beneficiaries

$12,059.06 total payment

Specialty: Certified Registered Nurse Anesthetist (CRNA)

—

Care Compare

No Care Compare data

✓

PECOS Enrollment

Medicare enrolled

System Reasoning

Claim Under Evaluation

Provider is actively practicing and appropriately listed in carrier networks

Evidence Evaluated

Colorado DORA License: License status: Expired

FHIR Directory: No active FHIR endpoint despite carrier listings

NPPES Registry: Active NPI, registered in LOUISVILLE

Medicare Billing: 74 services, 67 beneficiaries

PECOS Enrollment: Medicare enrollment confirmed

Federal Exclusion Check: No federal exclusions found (OIG LEIE, SAM.gov)

Carrier Networks: Listed in 3 carrier networks

CMS Care Compare: Not found in CMS Care Compare

Trust Evaluation

identity:0.75Strong

licensure:0.20Critical

activity:1.00

Dimension Scores

Composite0.68

Identity0.75 — Moderate

Active NPI with specialty classification

Licensure0.20 — Critical

DORA license expired or revoked

Activity1.00 — Strong

Active Medicare billing confirmed

Reachability0.60 — Moderate

Single address source (NPPES)

Network0.75 — Moderate

Limited carrier network presence

Why is this provider classified as “needs review”?

Evidence across dimensions is contradictory or specific concerns exist (unverified license, FHIR directory contradiction). Manual review recommended.

Carrier Network Listings

3 networks across 2 carriers

Anthem(1 network)

1 DOI 6C-3

Anthem Blue Cross Blue ShieldDOI 6C-3

View carrier →

Kaiser Permanente(2 networks)

2 DOI 6C-3

Kaiser Permanente Insurance CoDOI 6C-3

View carrier →

Kaiser PermanenteDOI 6C-3

View carrier →

Related Investigations

All providers in Anthem Blue Cross Blue Shield networkView →All Certified Registered Nurse Anesthetist (CRNA) providers statewideView →All providers in LOUISVILLE 80027View →All providers classified as Needs ReviewView →

Known Addresses

NPPESLOUISVILLE, 80027

Evidence

22 items across 11 assertions from 8 sources

Connected Records

Colorado License

Expired

DORA

Practice Address

LOUISVILLE, 80027

NPPES

Carrier Network Listing

Listed in 3 carrier networks

TiC: Anthem Blue Cross Blue Shield, TiC: Kaiser Permanente Insurance Company, TiC: Kaiser Permanente

NPI Registration

Status: active

NPPES Deactivation

Medicare Enrollment

Enrolled

PECOS

Medicare Billing

74 services

cms_medicare

entity_type

Record found

NPPES

Federal Exclusion Check

No exclusion found

OIG LEIE + SAM.gov

Evidence Lineage

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shield6 records ·weight 0.80 · Latest: Mar 14, 2026

Colorado License StatusTrust: 0.95

↓DORA4 records ·weight 0.60 · Latest: Mar 6, 2026

Matched via: primary

Colorado License StatusTrust: 0.95

↓DORA4 records ·weight 0.60 · Latest: Mar 6, 2026

Matched via: primary

NPI Registration StatusTrust: 0.90

↓NPPES Deactivationweight 0.85 · Mar 12, 2026

Medicare EnrollmentTrust: 0.95

↓PECOSweight 0.95 · Mar 11, 2026

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield

Mar 13, 2026DORA license check: Expired

Mar 12, 2026NPPES record: active

Mar 11, 2026Medicare enrollment: Approved

Mar 11, 2026Carrier listing: Kaiser Permanente Insurance Company

Mar 6, 2026Medicare billing: 74 services

Mar 5, 2026Carrier listing: Kaiser Permanente

Mar 5, 2026entity_type: record found

Mar 5, 2026Practice address: LOUISVILLE, 80027

Mar 5, 2026Provider Specialty: record found

Evidence

Loading evidence lineage...

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.

Evidence

22 items across 11 assertions from 8 sources

Connected Records

Colorado License

Expired

DORA

Practice Address

LOUISVILLE, 80027

NPPES

Carrier Network Listing

Listed in 3 carrier networks

TiC: Anthem Blue Cross Blue Shield, TiC: Kaiser Permanente Insurance Company, TiC: Kaiser Permanente

NPI Registration

Status: active

NPPES Deactivation

Medicare Enrollment

Enrolled

PECOS

Medicare Billing

74 services

cms_medicare

entity_type

Record found

NPPES

Federal Exclusion Check

No exclusion found

OIG LEIE + SAM.gov

Evidence Lineage

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shield6 records ·weight 0.80 · Latest: Mar 14, 2026

Colorado License StatusTrust: 0.95

↓DORA4 records ·weight 0.60 · Latest: Mar 6, 2026

Matched via: primary

Colorado License StatusTrust: 0.95

↓DORA4 records ·weight 0.60 · Latest: Mar 6, 2026

Matched via: primary

NPI Registration StatusTrust: 0.90

↓NPPES Deactivationweight 0.85 · Mar 12, 2026

Medicare EnrollmentTrust: 0.95

↓PECOSweight 0.95 · Mar 11, 2026

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield

Mar 13, 2026DORA license check: Expired

Mar 12, 2026NPPES record: active

Mar 11, 2026Medicare enrollment: Approved

Mar 11, 2026Carrier listing: Kaiser Permanente Insurance Company

Mar 6, 2026Medicare billing: 74 services

Mar 5, 2026Carrier listing: Kaiser Permanente

Mar 5, 2026entity_type: record found

Mar 5, 2026Practice address: LOUISVILLE, 80027

Mar 5, 2026Provider Specialty: record found