Credential file
Dr. Hannah Weiss, DO
Obstetrics and Gynecology, Physician
- NPI (National Provider Identifier)
- 9999999008
- Primary location
- Jefferson Park
- Works at
- Jefferson Park, Ashgrove Regional Hospital
- Billed to
- State Medicaid, Larkspur Health Plan, Harborline Health, Bluestem Mutual
- Controlled substances
- Prescribes
- With the group since
- Jul 24, 2026
- Credentials tracked
- 12
- Needing action
- 1
Can work today
Location by location, before any payer question. Pick a payer and a date on the Readiness page.
- Jefferson ParkReady
Nothing stands in the way.
- Ashgrove Regional HospitalReady
Nothing stands in the way.
Timeline
A year back and two years ahead. The bar is the valid term; the tick is when renewal work starts.
- Payer enrollment: Larkspur Health Plan
- OIG exclusion check
- CAQH attestation
- Malpractice insurance
- Payer enrollment: Bluestem Mutual
- State medical license (TN)
- CPR / BLS certification
- Privileges: Ashgrove Regional Hospital
- DEA registration (TN)
- Board certification
- Payer enrollment: Harborline Health
- Payer enrollment: State Medicaid
The vertical accent line is today. Each bar takes its status color; open a record for its status in words.
Required and not on file
Derived from where this provider works, who is billed, and whether they prescribe controlled substances.
Every requirement has a record.
On file
Worst first. Open any record for its rule, history and renewal workflow.
Application sent Aug 28, 2026 (40 days ago) and not approved yet.
Current. Start the renewal by Oct 19, 2026.
Current. Start the renewal by Nov 16, 2026.
Current. Start the renewal by Dec 28, 2026.
Current. Start the renewal by Jan 8, 2027.
Current. Start the renewal by Feb 10, 2027.
Current. Start the renewal by Nov 19, 2027.
Current. Start the renewal by Nov 19, 2027.
Current. Start the renewal by Aug 15, 2028.
Current. Start the renewal by Jun 28, 2028.
Current. Start the renewal by Sep 1, 2028.
Current. Start the renewal by Apr 18, 2031.
Recent activity
From the audit trail: changes, notes, and the monthly exclusion checks that covered this provider.
- Sep 26, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Sep 26, 2026 for 13 providers; nobody is excluded. Next check due Oct 26, 2026. Covered: Dr. Owen Hale, Dr. Lena Okafor, Dr. Marcus Bell, Nadia Brooks, Theo Ramirez, Dr. Aisha Grant, Dr. Samuel Ortiz, Dr. Hannah Weiss, Caleb Foster, Dr. Julian Moore, Grace Liu, Dr. Ethan Cole, Dr. Rosa Delgado.
- Aug 28, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Aug 28, 2026 for 14 providers; nobody is excluded. Next check due Sep 28, 2026. Covered: Dr. Owen Hale, Dr. Lena Okafor, Dr. Marcus Bell, Nadia Brooks, Theo Ramirez, Dr. Aisha Grant, Dr. Samuel Ortiz, Dr. Hannah Weiss, Caleb Foster, Dr. Priyanka Rao, Dr. Julian Moore, Grace Liu, Dr. Ethan Cole, Dr. Rosa Delgado.
- Aug 28, 2026 Credential added by Marisol Vega. Recorded a pending Larkspur Health Plan application.
- Aug 18, 2026 Renewal recorded by Marisol Vega. Recorded the enrollment as approved, effective Aug 18, 2026, revalidation due Aug 18, 2031.
- Jul 30, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Jul 30, 2026 for 14 providers; nobody is excluded. Next check due Aug 30, 2026. Covered: Dr. Owen Hale, Dr. Lena Okafor, Dr. Marcus Bell, Nadia Brooks, Theo Ramirez, Dr. Aisha Grant, Dr. Samuel Ortiz, Dr. Hannah Weiss, Caleb Foster, Dr. Priyanka Rao, Dr. Julian Moore, Grace Liu, Dr. Ethan Cole, Dr. Rosa Delgado.
- Jul 27, 2026 Credential added by Marisol Vega. Recorded a pending State Medicaid application sent on her first week.