Demonstration environment. Fictional organization, fictional providers, synthetic data throughout. Changes you make stay in this browser only.
ParvinCorpCredential Tracker

Ridgeline Health Partners. Multi-specialty physician group, 6 sites, 14 providers. This demo tracks all 14 providers plus 1 physician who starts soon.

Signed in as

Marisol Vega, Credentialing Coordinator. Runs credentialing. Sees every provider and records renewals, verifications and missing credentials.

ProvidersMenu

Credential file

Dr. Ethan Cole, MD

Psychiatry, Physician

Current
NPI (National Provider Identifier)
9999999013
Primary location
Jefferson Park
Works at
Jefferson Park
Billed to
Medicare, State Medicaid, Larkspur Health Plan, Harborline Health
Controlled substances
Prescribes
With the group since
Aug 28, 2022
Credentials tracked
11
Needing action
0

Can work today

Location by location, before any payer question. Pick a payer and a date on the Readiness page.

Ask about a payer or a date
  • Jefferson Park
    Ready

    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.

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.

OIG exclusion check
Current

Current. Start the renewal by Oct 16, 2026.

Start renewal by
Oct 16, 2026
in 10 days
Next check due
Oct 25, 2026
in 19 days
CAQH attestation
Current

Current. Start the renewal by Nov 9, 2026.

Start renewal by
Nov 9, 2026
in 34 days
Attest by
Dec 9, 2026
in 64 days
Payer enrollment: State Medicaid
Current

Current. Start the renewal by Nov 13, 2026.

Start renewal by
Nov 13, 2026
in 38 days
Revalidate by
Mar 15, 2027
in 160 days
Payer enrollment: Medicare
Current

Current. Start the renewal by Nov 27, 2026.

Start renewal by
Nov 27, 2026
in 52 days
Revalidate by
Mar 29, 2027
in 174 days
Malpractice insurance
Current

Current. Start the renewal by Jun 3, 2027.

Start renewal by
Jun 3, 2027
in 240 days
Policy ends
Jul 18, 2027
in 285 days
CPR / BLS certification
Current

Current. Start the renewal by Sep 17, 2027.

Start renewal by
Sep 17, 2027
in 346 days
Expires
Oct 18, 2027
in 377 days
Payer enrollment: Larkspur Health Plan
Current

Current. Start the renewal by Jun 29, 2027.

Start renewal by
Jun 29, 2027
in 266 days
Revalidate by
Oct 27, 2027
in 386 days
State medical license (TN)
Current

Current. Start the renewal by Jul 28, 2028.

Start renewal by
Jul 28, 2028
in 661 days
Expires
Oct 27, 2028
in 752 days
Payer enrollment: Harborline Health
Current

Current. Start the renewal by Sep 22, 2028.

Start renewal by
Sep 22, 2028
in 717 days
Revalidate by
Jan 21, 2029
in 838 days
DEA registration (TN)
Current

Current. Start the renewal by May 23, 2029.

Start renewal by
May 23, 2029
in 960 days
Expires
Jul 22, 2029
in 1020 days
Board certification
Current

Current. Start the renewal by Apr 6, 2029.

Start renewal by
Apr 6, 2029
in 913 days
Expires
Oct 4, 2029
in 1094 days

Recent activity

From the audit trail: changes, notes, and the monthly exclusion checks that covered this provider.

  1. Sep 25, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Sep 25, 2026 for 13 providers; nobody is excluded. Next check due Oct 25, 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.
  2. Sep 21, 2026 Renewal recorded by Marisol Vega. Recorded the renewal: new term Oct 27, 2026 to Oct 27, 2028, replacing one that ran to Oct 26, 2026.
  3. Aug 27, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Aug 27, 2026 for 14 providers; nobody is excluded. Next check due Sep 27, 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.
  4. Jul 29, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Jul 29, 2026 for 14 providers; nobody is excluded. Next check due Aug 29, 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.
  5. Jun 30, 2026 Exclusion check by Marisol Vega. Searched the exclusion list on Jun 30, 2026 for 13 providers; nobody is excluded. Next check due Jul 30, 2026. Covered: Dr. Owen Hale, Dr. Lena Okafor, Dr. Marcus Bell, Nadia Brooks, Theo Ramirez, Dr. Aisha Grant, Dr. Samuel Ortiz, Caleb Foster, Dr. Priyanka Rao, Dr. Julian Moore, Grace Liu, Dr. Ethan Cole, Dr. Rosa Delgado.