NPI 1861601767 · Physician Assistant · Anthem
Moderate evidence supports active practice with 8 carrier network listings and verified licensure.
NPPES
AURORA, 80012
Freshness: Unknown
Network Status
Listed with 8 carriers
DORA License
No license data
Medicare
Enrolled but no billing activity
Care Compare
No Care Compare data
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Active NPI with specialty classification
No DORA license data found
No Medicare billing · No electronic endpoint
Single address source (NPPES)
Listed in multiple carrier networks
8 networks across 4 carriers
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.