The Credentialing and Provider Enrollment department has the following functions within the UF Health system:
- Assures the Medical Staff at UF Health meets its responsibilities as delineated in the policies of the hospital, the Bylaws, Rules & Regulations of the Medical Staff, and other requirements as designated through state and federal legislation, and licensure and accreditation standards.
- Assures credentialing verification for all credentialed providers throughout the UF Health system that meets accreditation and statutory requirements and managed care delegated credentialing agreements, as appropriate.
- Assures enrollment of all Faculty Group Practice providers with federal and state payers.
Governing Documents
- UF Health Shands Medical Staff Bylaws
- Medical Staff Committee Manual
- UF Health Shands Hospital Allied Health Professional Policy on Clinical Privileges
Contacts
UF Health Shands Medical Staff Administration
PO Box 100371
Gainesville, FL 32610-0371
Telephone: (352) 265-0301
Fax: (352) 265-0627
- Ameen Baker
Director, Medical Staff Administration - Heather Stiles
Manager, Medical Staff Administration - Michelle P. Howard
Manager, Provider Enrollment- Oversees the provider enrollment function
- Assists with Managed Care audit process
- TBD
Provider Enrollment Analyst- Provides information regarding housestaff registration with Medicare as ordering and referring providers
- Processes provider enrollment applications for federal and state payers
- Nirant Shah
Credentialing/Provider Enrollment Analyst- Processes initial credentialing applications
- Processes provider enrollment applications for federal and state payers
- Patty Fought
Medical Staff Operations Analyst- Reviews credentialing applications
- Manages reports and MSOW processes
- Department liaison
- D’Angela T. Hutchinson
Credentialing/Provider Enrollment Analyst- Processes initial credentialing applications
- Processes provider enrollment applications for federal and state payers
- Heather Lawton
Credentialing/Provider Enrollment Analyst- Coordinates credentialing reappointments
- Keisha Sumpter
Credentialing/Provider Enrollment Analyst- Processes initial credentialing applications
- Processes provider enrollment applications for federal and state payers
- TBD
Lead Credentialing/Provider Enrollment Analyst- Processes initial credentialing applications
- Processes provider enrollment applications for federal and state payers
- Courtney Okojie
Credentialing/Provider Enrollment Analyst- Processes initial credentialing applications
- Processes provider enrollment applications for federal and state payers
- Courtney Milton
Medical Staff Administrative Assistant- Provides Administrative support
- Oversight of expirable process
- TBD
Credentialing/Provider Enrollment Analyst- Coordinates OPPE and FPPE process
- Coordinates Status Change process