Credentials
Every credential on file and every requirement with nothing on file, in the order work has to happen.
Download CSV
As of
Oct 7, 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 typesState medical licenseDEA registrationState controlled substance registrationBoard certificationMalpractice insuranceCAQH attestationPayer enrollmentHospital or surgery center privilegesCPR / BLS certificationOIG exclusion check
All sitesEast RegionWest RegionEastgate Family CareJefferson ParkMain CampusRiverbendRiverside OrthopedicsStonebridge
74 records, showing 1 to 50. Clear all filters
- Dr. Rosa DelgadoPayer enrollment: State MedicaidLapsedLapsed 20 days ago. No renewal has been recorded.No. MCD-ENR-DEMO-4156Ends Sep 17, 2026
- Dr. Priyanka RaoOIG exclusion checkLapsedLapsed 9 days ago. No renewal has been recorded.No. RHP-OIG-DEMO-4106Ends Sep 28, 2026
- Dr. Marcus BellPrivileges: Ashgrove Regional HospitalLapsedLapsed 6 days ago. Renewal sent Sep 17, 2026.No. ASH-PRV-DEMO-4035Ends Oct 1, 2026
- Dr. Nora WhitfieldOIG exclusion checkMissingNothing on file. Monthly screening against the federal exclusion list, for every provider.
- Dr. Nora WhitfieldPayer enrollment: Bluestem MutualMissingNothing on file. Visits are billed to Bluestem Mutual.
- Dr. Nora WhitfieldPrivileges: Ashgrove Regional HospitalMissingNothing on file. Works at Ashgrove Regional Hospital.
- Dr. Hannah WeissPayer enrollment: Larkspur Health PlanPendingApplication sent Aug 28, 2026 (40 days ago) and not approved yet.No. LARK-ENR-DEMO-4088
- Dr. Nora WhitfieldPayer enrollment: Larkspur Health PlanPendingApplication sent Sep 17, 2026 (20 days ago) and not approved yet.No. LARK-ENR-DEMO-4165
- Dr. Nora WhitfieldPayer enrollment: MedicarePendingApplication sent Sep 7, 2026 (30 days ago) and not approved yet.No. MCR-ENR-DEMO-4164
- Dr. Lena OkaforPayer enrollment: MedicareAction dueRenewal work should have started 26 days ago. Revalidate by Jan 10, 2027.No. MCR-ENR-DEMO-4018Ends Jan 10, 2027
- Dr. Julian MoorePrivileges: Cumberland Surgery CenterAction dueRenewal under way. Renewal sent Oct 2, 2026. Reappointment due Jan 15, 2027.No. CUMB-PRV-DEMO-4121Ends Jan 15, 2027
- Dr. Owen HaleOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4005Ends Oct 26, 2026
- Dr. Lena OkaforOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4015Ends Oct 26, 2026
- Dr. Marcus BellOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4027Ends Oct 26, 2026
- Nadia BrooksOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4040Ends Oct 26, 2026
- Theo RamirezOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4050Ends Oct 26, 2026
- Dr. Aisha GrantOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4060Ends Oct 26, 2026
- Dr. Samuel OrtizOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4072Ends Oct 26, 2026
- Dr. Hannah WeissOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4084Ends Oct 26, 2026
- Caleb FosterOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4096Ends Oct 26, 2026
- Dr. Julian MooreOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4114Ends Oct 26, 2026
- Grace LiuOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4127Ends Oct 26, 2026
- Dr. Ethan ColeOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4138Ends Oct 26, 2026
- Dr. Rosa DelgadoOIG exclusion checkCurrentCurrent. Start the renewal by Oct 19, 2026.No. RHP-OIG-DEMO-4150Ends Oct 26, 2026
- Dr. Samuel OrtizPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Oct 30, 2026.No. LARK-ENR-DEMO-4076Ends Mar 1, 2027
- Dr. Rosa DelgadoPayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 6, 2026.No. MCR-ENR-DEMO-4155Ends Mar 6, 2027
- Dr. Ethan ColePayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Nov 16, 2026.No. MCD-ENR-DEMO-4142Ends Mar 16, 2027
- Dr. Ethan ColePayer enrollment: MedicareCurrentCurrent. Start the renewal by Nov 30, 2026.No. MCR-ENR-DEMO-4141Ends Mar 30, 2027
- Caleb FosterPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Dec 9, 2026.No. HARB-ENR-DEMO-4100Ends Apr 8, 2027
- Dr. Lena OkaforPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jan 1, 2027.No. MCD-ENR-DEMO-4019Ends May 1, 2027
- Dr. Hannah WeissPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jan 8, 2027.No. BLUE-ENR-DEMO-4090Ends May 8, 2027
- Dr. Lena OkaforPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Jan 28, 2027.No. ASH-PRV-DEMO-4022Ends May 28, 2027
- Nadia BrooksPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jan 29, 2027.No. LARK-ENR-DEMO-4045Ends May 31, 2027
- Dr. Owen HalePayer enrollment: MedicareCurrentCurrent. Start the renewal by Feb 8, 2027.No. MCR-ENR-DEMO-4008Ends Jun 8, 2027
- Dr. Samuel OrtizPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Feb 17, 2027.No. ASH-PRV-DEMO-4079Ends Jun 17, 2027
- Dr. Marcus BellPrivileges: Cumberland Surgery CenterCurrentCurrent. Start the renewal by Feb 19, 2027.No. CUMB-PRV-DEMO-4034Ends Jun 21, 2027
- Dr. Julian MoorePayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Mar 31, 2027.No. HARB-ENR-DEMO-4119Ends Jul 29, 2027
- Dr. Priyanka RaoPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Apr 30, 2027.No. BLUE-ENR-DEMO-4110Ends Aug 28, 2027
- Dr. Owen HalePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Apr 30, 2027.No. LARK-ENR-DEMO-4009Ends Aug 30, 2027
- Dr. Marcus BellPayer enrollment: Harborline HealthCurrentCurrent. Start the renewal by Jun 9, 2027.No. HARB-ENR-DEMO-4032Ends Oct 7, 2027
- Dr. Ethan ColePayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Jun 30, 2027.No. LARK-ENR-DEMO-4143Ends Oct 28, 2027
- Dr. Lena OkaforPayer enrollment: Bluestem MutualCurrentCurrent. Start the renewal by Jul 9, 2027.No. BLUE-ENR-DEMO-4021Ends Nov 6, 2027
- Nadia BrooksPayer enrollment: State MedicaidCurrentCurrent. Start the renewal by Jul 28, 2027.No. MCD-ENR-DEMO-4044Ends Nov 25, 2027
- Nadia BrooksPayer enrollment: MedicareCurrentCurrent. Start the renewal by Aug 11, 2027.No. MCR-ENR-DEMO-4043Ends Dec 9, 2027
- Dr. Marcus BellPayer enrollment: MedicareCurrentCurrent. Start the renewal by Sep 3, 2027.No. MCR-ENR-DEMO-4030Ends Jan 2, 2028
- Theo RamirezPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 8, 2027.No. LARK-ENR-DEMO-4053Ends Jan 6, 2028
- Dr. Priyanka RaoPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Sep 29, 2027.No. LARK-ENR-DEMO-4109Ends Jan 27, 2028
- Dr. Julian MoorePrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Nov 18, 2027.No. ASH-PRV-DEMO-4122Ends Mar 17, 2028
- Dr. Hannah WeissPrivileges: Ashgrove Regional HospitalCurrentCurrent. Start the renewal by Nov 19, 2027.No. ASH-PRV-DEMO-4091Ends Mar 19, 2028
- Dr. Lena OkaforPayer enrollment: Larkspur Health PlanCurrentCurrent. Start the renewal by Dec 8, 2027.No. LARK-ENR-DEMO-4020Ends Apr 6, 2028