Credentials

Every credential on file and every requirement with nothing on file, in the order work has to happen.

As of

Oct 6, 2026

Pick as many as you like in each row. A record shows if it matches any pick in a row, and every row.

All statuses Needs action Lapsed Missing Expiring Pending Action due Current Not verified at source

All types State medical license DEA registration State controlled substance registration Board certification Malpractice insurance CAQH attestation Payer enrollment Hospital or surgery center privileges CPR / BLS certification OIG exclusion check

All sites East Region West Region Eastgate Family Care Jefferson Park Main Campus Riverbend Riverside Orthopedics Stonebridge

50 records. Clear all filters

Dr. Rosa Delgado
Payer enrollment: State Medicaid
Lapsed
Lapsed 20 days ago. No renewal has been recorded.No. MCD-ENR-DEMO-4156Ends Sep 16, 2026
Dr. Nora Whitfield
Payer enrollment: Bluestem Mutual
Missing
Nothing on file. Visits are billed to Bluestem Mutual.
Dr. Hannah Weiss
Payer enrollment: Larkspur Health Plan
Pending
Application sent Aug 27, 2026 (40 days ago) and not approved yet.No. LARK-ENR-DEMO-4088
Dr. Nora Whitfield
Payer enrollment: Larkspur Health Plan
Pending
Application sent Sep 16, 2026 (20 days ago) and not approved yet.No. LARK-ENR-DEMO-4165
Dr. Nora Whitfield
Payer enrollment: Medicare
Pending
Application sent Sep 6, 2026 (30 days ago) and not approved yet.No. MCR-ENR-DEMO-4164
Dr. Lena Okafor
Payer enrollment: Medicare
Action due
Renewal work should have started 25 days ago. Revalidate by Jan 9, 2027.No. MCR-ENR-DEMO-4018Ends Jan 9, 2027
Dr. Samuel Ortiz
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Oct 30, 2026.No. LARK-ENR-DEMO-4076Ends Feb 28, 2027
Dr. Rosa Delgado
Payer enrollment: Medicare
Current
Current. Start the renewal by Nov 5, 2026.No. MCR-ENR-DEMO-4155Ends Mar 5, 2027
Dr. Ethan Cole
Payer enrollment: State Medicaid
Current
Current. Start the renewal by Nov 13, 2026.No. MCD-ENR-DEMO-4142Ends Mar 15, 2027
Dr. Ethan Cole
Payer enrollment: Medicare
Current
Current. Start the renewal by Nov 27, 2026.No. MCR-ENR-DEMO-4141Ends Mar 29, 2027
Caleb Foster
Payer enrollment: Harborline Health
Current
Current. Start the renewal by Dec 8, 2026.No. HARB-ENR-DEMO-4100Ends Apr 7, 2027
Dr. Lena Okafor
Payer enrollment: State Medicaid
Current
Current. Start the renewal by Dec 31, 2026.No. MCD-ENR-DEMO-4019Ends Apr 30, 2027
Dr. Hannah Weiss
Payer enrollment: Bluestem Mutual
Current
Current. Start the renewal by Jan 7, 2027.No. BLUE-ENR-DEMO-4090Ends May 7, 2027
Nadia Brooks
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Jan 29, 2027.No. LARK-ENR-DEMO-4045Ends May 30, 2027
Dr. Owen Hale
Payer enrollment: Medicare
Current
Current. Start the renewal by Feb 5, 2027.No. MCR-ENR-DEMO-4008Ends Jun 7, 2027
Dr. Julian Moore
Payer enrollment: Harborline Health
Current
Current. Start the renewal by Mar 30, 2027.No. HARB-ENR-DEMO-4119Ends Jul 28, 2027
Dr. Priyanka Rao
Payer enrollment: Bluestem Mutual
Current
Current. Start the renewal by Apr 29, 2027.No. BLUE-ENR-DEMO-4110Ends Aug 27, 2027
Dr. Owen Hale
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Apr 30, 2027.No. LARK-ENR-DEMO-4009Ends Aug 29, 2027
Dr. Marcus Bell
Payer enrollment: Harborline Health
Current
Current. Start the renewal by Jun 8, 2027.No. HARB-ENR-DEMO-4032Ends Oct 6, 2027
Dr. Ethan Cole
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Jun 29, 2027.No. LARK-ENR-DEMO-4143Ends Oct 27, 2027
Dr. Lena Okafor
Payer enrollment: Bluestem Mutual
Current
Current. Start the renewal by Jul 8, 2027.No. BLUE-ENR-DEMO-4021Ends Nov 5, 2027
Nadia Brooks
Payer enrollment: State Medicaid
Current
Current. Start the renewal by Jul 27, 2027.No. MCD-ENR-DEMO-4044Ends Nov 24, 2027
Nadia Brooks
Payer enrollment: Medicare
Current
Current. Start the renewal by Aug 10, 2027.No. MCR-ENR-DEMO-4043Ends Dec 8, 2027
Dr. Marcus Bell
Payer enrollment: Medicare
Current
Current. Start the renewal by Sep 3, 2027.No. MCR-ENR-DEMO-4030Ends Jan 1, 2028
Theo Ramirez
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Sep 7, 2027.No. LARK-ENR-DEMO-4053Ends Jan 5, 2028
Dr. Priyanka Rao
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Sep 28, 2027.No. LARK-ENR-DEMO-4109Ends Jan 26, 2028
Dr. Lena Okafor
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Dec 7, 2027.No. LARK-ENR-DEMO-4020Ends Apr 5, 2028
Dr. Samuel Ortiz
Payer enrollment: Harborline Health
Current
Current. Start the renewal by Jan 26, 2028.No. HARB-ENR-DEMO-4077Ends May 25, 2028
Dr. Aisha Grant
Payer enrollment: State Medicaid
Current
Current. Start the renewal by Feb 18, 2028.No. MCD-ENR-DEMO-4065Ends Jun 19, 2028
Dr. Aisha Grant
Payer enrollment: Bluestem Mutual
Current
Current. Start the renewal by Feb 25, 2028.No. BLUE-ENR-DEMO-4067Ends Jun 24, 2028
Dr. Julian Moore
Payer enrollment: Bluestem Mutual
Current
Current. Start the renewal by Mar 17, 2028.No. BLUE-ENR-DEMO-4120Ends Jul 15, 2028
Caleb Foster
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Apr 26, 2028.No. LARK-ENR-DEMO-4099Ends Aug 24, 2028
Dr. Rosa Delgado
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by May 17, 2028.No. LARK-ENR-DEMO-4157Ends Sep 14, 2028
Dr. Marcus Bell
Payer enrollment: Bluestem Mutual
Current
Current. Start the renewal by May 26, 2028.No. BLUE-ENR-DEMO-4033Ends Sep 23, 2028
Dr. Owen Hale
Payer enrollment: Harborline Health
Current
Current. Start the renewal by Jul 26, 2028.No. HARB-ENR-DEMO-4010Ends Nov 23, 2028
Dr. Aisha Grant
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Jul 26, 2028.No. LARK-ENR-DEMO-4066Ends Nov 23, 2028
Dr. Julian Moore
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Aug 16, 2028.No. LARK-ENR-DEMO-4118Ends Dec 14, 2028
Dr. Hannah Weiss
Payer enrollment: Harborline Health
Current
Current. Start the renewal by Sep 1, 2028.No. HARB-ENR-DEMO-4089Ends Dec 31, 2028
Dr. Ethan Cole
Payer enrollment: Harborline Health
Current
Current. Start the renewal by Sep 22, 2028.No. HARB-ENR-DEMO-4144Ends Jan 21, 2029
Grace Liu
Payer enrollment: Bluestem Mutual
Current
Current. Start the renewal by Oct 23, 2028.No. BLUE-ENR-DEMO-4133Ends Feb 20, 2029
Dr. Samuel Ortiz
Payer enrollment: Medicare
Current
Current. Start the renewal by Oct 23, 2028.No. MCR-ENR-DEMO-4075Ends Feb 20, 2029
Dr. Marcus Bell
Payer enrollment: Larkspur Health Plan
Current
Current. Start the renewal by Oct 25, 2028.No. LARK-ENR-DEMO-4031Ends Feb 22, 2029
Theo Ramirez
Payer enrollment: Harborline Health
Current
Current. Start the renewal by Dec 1, 2028.No. HARB-ENR-DEMO-4054Ends Apr 1, 2029
Dr. Samuel Ortiz
Payer enrollment: Bluestem Mutual
Current
Current. Start the renewal by Jan 12, 2029.No. BLUE-ENR-DEMO-4078Ends May 13, 2029
Caleb Foster
Payer enrollment: Medicare
Current
Current. Start the renewal by May 18, 2029.No. MCR-ENR-DEMO-4098Ends Sep 16, 2029
Dr. Priyanka Rao
Payer enrollment: Medicare
Current
Current. Start the renewal by Apr 29, 2030.No. MCR-ENR-DEMO-4108Ends Aug 27, 2030
Grace Liu
Payer enrollment: State Medicaid
Current
Current. Start the renewal by Nov 8, 2030.No. MCD-ENR-DEMO-4132Ends Mar 9, 2031
Grace Liu
Payer enrollment: Medicare
Current
Current. Start the renewal by Nov 22, 2030.No. MCR-ENR-DEMO-4131Ends Mar 23, 2031
Dr. Julian Moore
Payer enrollment: Medicare
Current
Current. Start the renewal by Dec 17, 2030.No. MCR-ENR-DEMO-4117Ends Apr 16, 2031
Dr. Hannah Weiss
Payer enrollment: State Medicaid
Current
Current. Start the renewal by Apr 18, 2031.No. MCD-ENR-DEMO-4087Ends Aug 17, 2031