JENNIFER WHALEN

NPI 1679659312 · Clinical Nurse Specialist · Anthem

Provider Status Assessment

Likely Active

Moderate evidence supports active practice with 3 carrier network listings and verified licensure.

Confidence: High

Evidence: 36 items from 9 sources

Signals: 6 supporting · 0 opposing

Resolution: Moderate evidence supports active practice across 6 sources. No contradictory signals detected.

Data Source Signals

✓

NPPES

ENGLEWOOD, 80113

Freshness: Unknown

✓

Network Status

Listed with 10 carriers

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

✓

DORA License

Active

✗

Medicare

Enrolled but no billing activity

✗

Care Compare

Address mismatch with NPPES

AURORA, 80010

✓

PECOS Enrollment

System Reasoning

Claim Under Evaluation

Provider is actively practicing and appropriately listed in carrier networks

Evidence Evaluated

Medicare Billing: Enrolled in Medicare but no recent billing data

FHIR Directory: No active FHIR endpoint despite carrier listings

NPPES Registry: Active NPI, registered in ENGLEWOOD

Colorado DORA License: License status: Active

PECOS Enrollment: Medicare enrollment confirmed

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

Carrier Networks: Listed in 10 carrier networks

CMS Care Compare: Found in Care Compare with 1 location

Trust Evaluation

identity:0.75Strong

licensure:0.90Strong

activity:

Dimension Scores

Composite0.69

Identity0.75 — Moderate

Active NPI with specialty classification

Licensure0.90 — Strong

Active Colorado DORA license confirmed

Activity0.50 — Moderate

No Medicare billing · No electronic endpoint

Reachability0.60 — Moderate

Single address source (NPPES)

Network0.75 — Moderate

Limited carrier network presence

Why is this provider classified as “likely active”?

Moderate evidence supports active practice. All dimensions above 0.40 with evidence depth ≥ 4. Licensure verified.

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 Clinical Nurse Specialist providers statewideView →All providers in ENGLEWOOD 80113View →All providers classified as Likely ActiveView →

Known Addresses

NPPESENGLEWOOD, 80113

Care CompareAURORA, 80010

Evidence

36 items across 19 assertions from 9 sources

Connected Records

Practice Address

ENGLEWOOD, 80113

NPPES, cms_care_compare

Carrier Network Listing

Listed in 3 carrier networks

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

Colorado License

Active

DORA

NPI Registration

Status: active

NPPES Deactivation

Order/Referring Eligibility

Record found

cms_order_refer

Medicare Enrollment

Enrolled

PECOS

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 Shield17 records ·weight 0.80 · Latest: Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Timeline

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

Mar 13, 2026DORA license check: Active

Mar 12, 2026NPPES record: active

Mar 11, 2026Practice address: ENGLEWOOD, 80113

Mar 11, 2026Order/Referring Eligibility: record found

Mar 11, 2026Medicare enrollment: Approved

Mar 11, 2026Carrier listing: Kaiser Permanente Insurance Company

Mar 6, 2026Practice address: AURORA, 80010

Mar 5, 2026Carrier listing: Kaiser Permanente

Mar 5, 2026Provider Specialty: record found

Mar 5, 2026

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

36 items across 19 assertions from 9 sources

Connected Records

Practice Address

ENGLEWOOD, 80113

NPPES, cms_care_compare

Carrier Network Listing

Listed in 3 carrier networks

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

Colorado License

Active

DORA

NPI Registration

Status: active

NPPES Deactivation

Order/Referring Eligibility

Record found

cms_order_refer

Medicare Enrollment

Enrolled

PECOS

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 Shield17 records ·weight 0.80 · Latest: Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Anthem Blue Cross Blue Shieldweight 0.80 · Mar 14, 2026

Timeline

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

Mar 13, 2026DORA license check: Active

Mar 12, 2026NPPES record: active

Mar 11, 2026Practice address: ENGLEWOOD, 80113

Mar 11, 2026Order/Referring Eligibility: record found

Mar 11, 2026Medicare enrollment: Approved

Mar 11, 2026Carrier listing: Kaiser Permanente Insurance Company

Mar 6, 2026Practice address: AURORA, 80010

Mar 5, 2026Carrier listing: Kaiser Permanente

Mar 5, 2026Provider Specialty: record found

Mar 5, 2026