KRISTIN KLINGENSTEIN

NPI 1528322286 · Podiatry · Anthem

Provider Status Assessment

Needs Review

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

Confidence: High

Evidence: 14 items from 7 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

DENVER, 80220

Freshness: Unknown

✓

Network Status

Listed with 1 carrier

anthem_co — in_network (commercial)

✗

DORA License

Expired

✓

Medicare

1,911 services

398 beneficiaries

$139,569.99 total payment

Specialty: Podiatry

—

Care Compare

No Care Compare data

✓

PECOS Enrollment

Medicare enrolled

Order/Referring eligible: Yes

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 DENVER

Medicare Billing: 1,911 services, 398 beneficiaries

PECOS Enrollment: Medicare enrollment confirmed

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

Carrier Networks: Listed in 1 carrier network

CMS Care Compare: Not found in CMS Care Compare

Trust Evaluation

identity:0.75Strong

licensure:0.20Critical

activity:1.00

Dimension Scores

Composite0.64

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)

Network0.45 — Weak

Weak network corroboration

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

1 network across 1 carrier

Anthem(1 network)

1 DOI 6C-3

Anthem Blue Cross Blue ShieldDOI 6C-3

View carrier →

Related Investigations

All providers in Anthem Blue Cross Blue Shield networkView →All Podiatry providers statewideView →All providers in DENVER 80220View →All providers classified as Needs ReviewView →

Known Addresses

NPPESDENVER, 80220

Evidence

14 items across 9 assertions from 7 sources

Connected Records

Colorado License

Expired

DORA

Practice Address

DENVER, 80220

NPPES

Carrier Network Listing

Listed in 1 carrier network

TiC: Anthem Blue Cross Blue Shield

NPI Registration

Status: active

NPPES Deactivation

Order/Referring Eligibility

Record found

cms_order_refer

Medicare Enrollment

Enrolled

PECOS

Medicare Billing

1,911 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 Shield4 records ·weight 0.80 · Latest: Mar 14, 2026

Colorado License StatusTrust: 0.95

↓DORA3 records ·weight 0.95 · Latest: Mar 13, 2026

Matched via: primary

NPI Registration StatusTrust: 0.90

↓NPPES Deactivationweight 0.85 · Mar 12, 2026

Order/Referring EligibilityTrust: 0.95

↓cms_order_referweight 0.95 · Mar 11, 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, 2026Order/Referring Eligibility: record found

Mar 11, 2026Medicare enrollment: Approved

Mar 6, 2026Medicare billing: 1,911 services

Mar 5, 2026entity_type: record found

Mar 5, 2026Practice address: DENVER, 80220

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

14 items across 9 assertions from 7 sources

Connected Records

Colorado License

Expired

DORA

Practice Address

DENVER, 80220

NPPES

Carrier Network Listing

Listed in 1 carrier network

TiC: Anthem Blue Cross Blue Shield

NPI Registration

Status: active

NPPES Deactivation

Order/Referring Eligibility

Record found

cms_order_refer

Medicare Enrollment

Enrolled

PECOS

Medicare Billing

1,911 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 Shield4 records ·weight 0.80 · Latest: Mar 14, 2026

Colorado License StatusTrust: 0.95

↓DORA3 records ·weight 0.95 · Latest: Mar 13, 2026

Matched via: primary

NPI Registration StatusTrust: 0.90

↓NPPES Deactivationweight 0.85 · Mar 12, 2026

Order/Referring EligibilityTrust: 0.95

↓cms_order_referweight 0.95 · Mar 11, 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, 2026Order/Referring Eligibility: record found

Mar 11, 2026Medicare enrollment: Approved

Mar 6, 2026Medicare billing: 1,911 services

Mar 5, 2026entity_type: record found

Mar 5, 2026Practice address: DENVER, 80220

Mar 5, 2026Provider Specialty: record found