If you wish to apply for privileges at any Inova facility, please complete this downloadable Application Request Form and submit to the Central Verification Office either by email or fax. Visit the Inova.org Physician Directory page to access a full list of physician clinical interests. Email: MedicalStaffCredentialing@inova.org Fax: 703-289-8650 Upon receipt of the written request, the Centralized Credentialing Department will initiate the application process. You will receive email communications within two business days.

Please contact us for more information about physician credentialing at Inova. Contact information is grouped by area of responsibility: Central Verifications Office Medical Staff Offices Hospital Verifications Employment Verifications Payor – Managed Care Credentialing

Colleen Huelskamp Assistant Vice Presidentcolleen.huelskamp@inova.org703-204-6371 Caroline Aho Senior Administrative Coordinatorcaroline.aho@inova.org703-289-8675 Sahvin Panichpong Database Analystsahvin.panichpong@inova.org703-205-2336 Clint Bowman Senior Systems Analyst – Operationsclint.bowman@inova.org703-289-8648 John Coffee Senior Systems Analyst – Technicaljohn.coffee@inova.org703-205-2334 Rosanne Greene Credentialing Specalistrosanne.greene@inova.org703-282-0966 Lori Henry Credentialing Coordinatorlori.henry@inova.org Cathy Snyder Systems Analystcathleen.snyder@inova.org703-289-8644 Fa

The Work Number Inova Health System Code - 20788theworknumber.com

Sheriffa Quinones Team Leadsheriffa.bangura@inova.org703-289-8676

Medical Staff bylaws at each Inova entity require practitioners to maintain current expirables at all times. Failure to renew license or insurance will result in suspension of medical staff privileges at the Inova entity(ies) until renewal is verified by the Centralized Credentialing Office. The Centralized Credentialing Office monitors expiration dates and reports expiring certificates/licenses to the Medical Staff Offices. All practitioners on staff at an Inova entity must provide Centralized Credentialing with renewed credentials or certificates PRIOR to expiration.

General Questions What Is Credentialing? Expand Content Credentialing is a term that usually encompasses two separate processes: credentialing and privileging. Credentialing is the primary source verification of a health care practitioner's education, training, work experience, license, etc. Privileging is granting approval for an individual to perform a specific procedure or specific set of privileges based on documented competence in the specialty in which privileges are requested. Why Does Inova Credential?

For All Locations POLICY: Mandatory Immunization Documentation for Medical Staff and Advanced Practice Providers (MMR, Varicella, Tdap, Hepatitis B and TB screening) Reappointment - Inova Health System Mandatory Immunization Policy Tuberculosis (TB) Risk Assessment Form Practitioner Information Change Form Code of Conduct (English) Code of Conduct (Spanish) Language Services: Staff Training Instructions and Attestation (signature required) Medical Staff Citizenship Policy Quality and Patient Safety Overview Instructions and Attestation (signature required) Physician Clinical Interest List Po

Primary Source Verification (PSV) This online primary source verification service (PSV) is available to other hospitals, healthcare organizations and credentialing agents. Notice to User: By accessing this site, you acknowledge the information provided by this service is confidential and that you have a current signed release from the practitioner. Click here for the PSV website Requirements: Letters generated from the PSV credentialing website are in Adobe PDF format.

You must have JavaScript enabled to use this form. Request Updates to Inova's Find a Doctor Directory Complete the following form to be added to the physician directory or to request updates to your existing physician profile. All requests are received by Inova’s centralized credentialing office.