Ridgeline Health Partners
Credential status report: West Region, Eastgate Family Care, Jefferson Park and Riverbend
As of Oct 7, 2026. 10 providers who work at West Region, Eastgate Family Care, Jefferson Park and Riverbend, sorted by provider, A to Z. Worst status per category; letters read without color.
On a narrow screen the table scrolls sideways; the provider column stays in place.
| Provider | License | DEA / CSR | Board | Malpractice | CAQH | Payers | Privileges | CPR | OIG |
|---|---|---|---|---|---|---|---|---|---|
| Nadia BrooksFamily Medicine | A Action due | C Current | C Current | C Current | L Lapsed | C Current3 of 3 current | n/a | C Current | C Current |
| Dr. Ethan ColePsychiatry | C Current | C Current | C Current | C Current | C Current | C Current4 of 4 current | n/a | C Current | C Current |
| Dr. Rosa DelgadoFamily Medicine | C Current2 of 2 current | C Current3 of 3 current | C Current | C Current | C Current | L Lapsed2 of 3 current | n/a | C Current | C Current |
| Caleb FosterOrthopedic Surgery | C Current | n/a | E Expiring | C Current | C Current | C Current3 of 3 current | C Current | C Current | C Current |
| Dr. Aisha GrantPediatrics | L Lapsed1 of 2 current | C Current3 of 3 current | C Current | C Current | C Current | C Current3 of 3 current | n/a | C Current | C Current |
| Grace LiuFamily Medicine | C Current | E Expiring0 of 2 current | C Current | C Current | C Current | C Current3 of 3 current | n/a | C Current | C Current |
| Dr. Julian MooreOrthopedic Surgery | C Current | C Current | M Missing | C Current | C Current | C Current4 of 4 current | A Action due1 of 2 current | C Current | C Current |
| Theo RamirezUrgent Care | C Current | C Current | C Current | E Expiring | C Current | C Current2 of 2 current | n/a | C Current | C Current |
| Dr. Priyanka RaoDermatology | C Current | n/a | C Current | C Current | C Current | C Current3 of 3 current | n/a | A Action due | L Lapsed |
| Dr. Hannah WeissObstetrics and Gynecology | C Current | C Current | C Current | C Current | C Current | P Pending3 of 4 current | C Current | C Current | C Current |
Key: L Lapsed, M Missing, E Expiring, P Pending, A Action due, C Current. n/a means not required for that provider. Columns: DEA / CSR is the federal DEA registration and the state controlled substance registration (CSR); CAQH is the shared credentialing profile payers read (Council for Affordable Quality Healthcare); Payers covers every payer enrollment; CPR is the CPR / BLS (Basic Life Support) card; OIG is the monthly search of the federal exclusion list kept by the Office of Inspector General. In the OIG column, L Excluded is a confirmed match on the exclusion list and E Possible match is one still being confirmed.
Held back today
- Dr. Aisha Grant cannot see patients at Riverbend.
- Dr. Hannah Weiss visits cannot be billed to Larkspur Health Plan.
- Dr. Rosa Delgado visits cannot be billed to State Medicaid.
Due to start in the next 60 days
- Oct 19 Monthly exclusion check, whole roster (10 providers)
- Oct 21 Caleb Foster: CAQH attestation
- Oct 23 Dr. Priyanka Rao: CAQH attestation
- Oct 26 Dr. Rosa Delgado: CAQH attestation
- Oct 30 Caleb Foster: State medical license (TN)
- Nov 6 Dr. Rosa Delgado: Payer enrollment: Medicare
- Nov 6 Grace Liu: Malpractice insurance
- Nov 10 Dr. Ethan Cole: CAQH attestation
- Nov 16 Dr. Ethan Cole: Payer enrollment: State Medicaid
- Nov 16 Dr. Hannah Weiss: CAQH attestation
- Nov 20 Dr. Aisha Grant: CPR / BLS certification
- Nov 23 Dr. Julian Moore: CAQH attestation
- Nov 27 Dr. Priyanka Rao: Malpractice insurance
- Nov 30 Dr. Ethan Cole: Payer enrollment: Medicare