RAINA SISNEROS

NPI 1750418729 · Nursing · Kaiser

Provider Status Assessment

Needs Review

Active in carrier directories but no matching Colorado DORA license record found.

Confidence: Low

Evidence: 5 items from 3 sources

Signals: 3 supporting · 0 opposing · 4 missing

Resolution: Carrier-attested activity present but no matching Colorado DORA license found. Cannot verify licensing despite network participation.

Data Source Signals

✓

NPPES

WESTMINSTER, 80003

Freshness: Unknown

✓

Network Status

Listed with 1 carrier

kaiser_co — in_network (commercial)

—

DORA License

No license data

—

Medicare

Non-Medicare specialty

—

Care Compare

No Care Compare data

—

PECOS Enrollment

No PECOS data

System Reasoning

Claim Under Evaluation

Provider is actively practicing and appropriately listed in carrier networks

Evidence Evaluated

FHIR Directory: No active FHIR endpoint despite carrier listings

NPPES Registry: Active NPI, registered in WESTMINSTER

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

Carrier Networks: Listed in 1 carrier network

Colorado DORA License: No matching DORA license record found

Medicare Billing: No Medicare billing records available

PECOS Enrollment: PECOS enrollment status unknown

CMS Care Compare: Not found in CMS Care Compare

Trust Evaluation

identity:0.75Strong

licensure:0.55Moderate

activity:

Dimension Scores

Composite0.64

Identity0.75 — Moderate

Active NPI with specialty classification

Licensure0.55 — Moderate

No DORA license data found

Activity0.75 — Moderate

No Medicare billing · No electronic endpoint · No PECOS enrollment

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

Kaiser Permanente(1 network)

1 DOI 6C-3

Kaiser PermanenteDOI 6C-3

View carrier →

Related Investigations

All providers in Kaiser Permanente networkView →All Nursing providers statewideView →All providers in WESTMINSTER 80003View →All providers classified as Needs ReviewView →

Known Addresses

NPPESWESTMINSTER, 80003

Evidence

5 items across 5 assertions from 3 sources

Connected Records

Practice Address

WESTMINSTER, 80003

NPPES

NPI Registration

Status: active

NPPES Deactivation

Carrier Network Listing

Listed in 1 carrier network

TiC: Kaiser Permanente

entity_type

Record found

NPPES

Federal Exclusion Check

No exclusion found

OIG LEIE + SAM.gov

Evidence Lineage

NPI Registration StatusTrust: 0.90

↓NPPES Deactivationweight 0.85 · Mar 12, 2026

Carrier Network ListingTrust: 0.80

↓TiC: Kaiser Permanenteweight 0.80 · Mar 5, 2026

entity_typeTrust: 0.85

↓NPPESweight 0.85 · Mar 5, 2026

Provider SpecialtyTrust: 0.85

↓NPPESweight 0.85 · Mar 5, 2026

Practice LocationTrust: 0.85

↓NPPESweight 0.85 · Mar 5, 2026

Timeline

Mar 12, 2026NPPES record: active

Mar 5, 2026Carrier listing: Kaiser Permanente

Mar 5, 2026entity_type: record found

Mar 5, 2026Provider Specialty: record found

Mar 5, 2026Practice address: WESTMINSTER, 80003

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.