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.

Status reportMenu
Work queueWhat needs action nowStatus reportOne sheet for the partnersRenewal rulesLead times and whyCredentialsEvery record, filterableProvidersRoster and credential filesReadinessCan they work this day?CalendarThe next twelve monthsOrganizationEntities, regions and sitesAudit trailWho changed what, and whenGuided tourDrive it yourself
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Ridgeline Health Partners

Credential status report: West Region, Eastgate Family Care, Jefferson Park, Main Campus, Riverbend and Stonebridge

As of Oct 7, 2026. 14 providers who work at West Region, Eastgate Family Care, Jefferson Park, Main Campus, Riverbend and Stonebridge, sorted by provider, A to Z. Worst status per category; letters read without color.

Download CSV
All sitesEast RegionWest RegionEastgate Family CareJefferson ParkMain CampusRiverbendRiverside OrthopedicsStonebridge
Click any column heading to sort. The printout and the CSV follow this order.Also sort by:Worst statusStart date

On a narrow screen the table scrolls sideways; the provider column stays in place.

ProviderLicenseDEA / CSRBoardMalpracticeCAQHPayersPrivilegesCPROIG
Nadia BrooksFamily MedicineA Action dueC CurrentC CurrentC CurrentL LapsedC Current3 of 3 currentn/aC CurrentC Current
Dr. Ethan ColePsychiatryC CurrentC CurrentC CurrentC CurrentC CurrentC Current4 of 4 currentn/aC CurrentC Current
Dr. Rosa DelgadoFamily MedicineC Current2 of 2 currentC Current3 of 3 currentC CurrentC CurrentC CurrentL Lapsed2 of 3 currentn/aC CurrentC Current
Caleb FosterOrthopedic SurgeryC Currentn/aE ExpiringC CurrentC CurrentC Current3 of 3 currentC CurrentC CurrentC Current
Dr. Aisha GrantPediatricsL Lapsed1 of 2 currentC Current3 of 3 currentC CurrentC CurrentC CurrentC Current3 of 3 currentn/aC CurrentC Current
Dr. Owen HaleFamily MedicineC CurrentE ExpiringC CurrentC CurrentC CurrentC Current3 of 3 currentn/aC CurrentC Current
Grace LiuFamily MedicineC CurrentE Expiring0 of 2 currentC CurrentC CurrentC CurrentC Current3 of 3 currentn/aC CurrentC Current
Dr. Julian MooreOrthopedic SurgeryC CurrentC CurrentM MissingC CurrentC CurrentC Current4 of 4 currentA Action due1 of 2 currentC CurrentC Current
Dr. Lena OkaforInternal MedicineC CurrentC CurrentC CurrentC CurrentC CurrentA Action due3 of 4 currentC CurrentC CurrentC Current
Dr. Samuel OrtizCardiologyC CurrentC CurrentC CurrentC CurrentC CurrentC Current4 of 4 currentC CurrentC CurrentC Current
Theo RamirezUrgent CareC CurrentC CurrentC CurrentE ExpiringC CurrentC Current2 of 2 currentn/aC CurrentC Current
Dr. Priyanka RaoDermatologyC Currentn/aC CurrentC CurrentC CurrentC Current3 of 3 currentn/aA Action dueL Lapsed
Dr. Hannah WeissObstetrics and GynecologyC CurrentC CurrentC CurrentC CurrentC CurrentP Pending3 of 4 currentC CurrentC CurrentC Current
Dr. Nora WhitfieldInternal Medicine. Starts Nov 21C CurrentC CurrentC CurrentC CurrentC CurrentM Missing0 of 3 currentM MissingC CurrentM Missing

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 (14 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)
  • Oct 30 Dr. Samuel Ortiz: Payer enrollment: Larkspur Health Plan
  • Nov 3 Dr. Nora Whitfield: CPR / BLS certification
  • Nov 3 Dr. Samuel Ortiz: CAQH attestation
  • 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 26 Dr. Nora Whitfield: CAQH attestation
  • Nov 27 Dr. Priyanka Rao: Malpractice insurance
  • Nov 30 Dr. Ethan Cole: Payer enrollment: Medicare
  • Dec 1 Dr. Owen Hale: CAQH attestation