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Data sources: NPPES · PECOS · Colorado DORA · OIG LEIE · SAM.gov · CMS Care Compare · Medicare Utilization · FHIR · Carrier Transparency in Coverage Filings

All findings derived exclusively from publicly available federal and state datasets.

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ANNETTE WYCHGRAM

NPI 1992134621 · Nurse Practitioner - Family · Anthem

Provider Status Assessment
Needs Review

Evidence across dimensions is contradictory — supporting and opposing signals are present.

Confidence: Moderate
Evidence: 9120 items from 5 sources
Signals: 5 supporting · 0 opposing · 1 missing
Resolution: Mixed signals across dimensions prevent confident classification. Manual review recommended.

Data Source Signals

✓

NPPES

ENGLEWOOD, 80112

Freshness: Unknown

✓

Network Status

Listed with 2 carriers

  • anthem_co — in_network (commercial)
  • anthem_co — in_network (commercial)
✓

DORA License

Active

✗

Medicare

Enrolled but no billing activity

—

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
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 2 carrier networks
CMS Care Compare: Not found in CMS Care Compare
Trust Evaluation
identity:0.75Strong
licensure:0.90Strong
activity:

Dimension Scores

Composite0.62
Identity0.75 — Moderate

Active NPI with specialty classification

Licensure0.90 — Strong

Active Colorado DORA license confirmed

Activity0.40 — Weak

No Medicare billing · No electronic endpoint

Reachability0.60 — Moderate

Single address source (NPPES)

Network0.43 — 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 Nurse Practitioner - Family providers statewideView →All providers in ENGLEWOOD 80112View →All providers classified as Needs ReviewView →

Known Addresses

NPPESENGLEWOOD, 80112

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.

0.40
Weak
reachability:0.60Moderate
network:0.43Weak
System Determination
Needs Review
Composite score: 0.622
Evidence across dimensions is contradictory — supporting and opposing signals are present.

Evidence

9120 items across 14 assertions from 5 sources

Connected Records

Practice Address
ENGLEWOOD, 80112
NPPES
Carrier Network Listing
Listed in 1 carrier network
TiC: Anthem Blue Cross Blue Shield
Colorado License
Active
DORA
NPI Registration
Status: active
NPPES Deactivation
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 Shield9090 records ·weight 0.80 · Latest: Mar 14, 2026
Carrier Network ListingTrust: 0.80
↓TiC: Anthem Blue Cross Blue Shield4 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
↓DORA2 records ·weight 0.98 · Latest: Mar 13, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield
Mar 13, 2026DORA license check: Active
Mar 13, 2026DORA license check: Cancelled
Mar 13, 2026DORA license check: Expired
Mar 12, 2026NPPES record: active
Mar 11, 2026Medicare enrollment: Approved
Mar 5, 2026Practice address: ENGLEWOOD, 80112
Mar 5, 2026entity_type: record found
Mar 5, 2026Provider Specialty: record found
↓
DORA
4 records ·
weight 0.98 · Latest: Mar 6, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95
↓DORA4 records ·weight 0.60 · Latest: Mar 6, 2026
Matched via: primary
Colorado License StatusTrust: 0.95
↓DORA3 records ·weight 0.60 · Latest: Mar 13, 2026
Matched via: primary
Colorado License StatusTrust: 0.95
↓DORAweight 0.98 · Mar 13, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95
↓DORA3 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
Practice LocationTrust: 0.85
↓NPPESweight 0.85 · Mar 5, 2026
entity_typeTrust: 0.85
↓NPPESweight 0.85 · Mar 5, 2026
Provider SpecialtyTrust: 0.85
↓NPPESweight 0.85 · Mar 5, 2026