State Medicaid Exclusions
State-level Medicaid exclusion lists. 82,810 records. Currently loaded: NY (OMIG).
| Provider name | State | Provider type | NPI | Exclusion date | Reinstated | Reason |
|---|---|---|---|---|---|---|
| CRADDOCK SHAKIL | NY | Direct Support Professional | — | 2025-07-21 | active | — |
| BEAUCHARD ELVEUS | NY | Direct Support Professional | — | 2025-07-21 | active | — |
| CATALONE ANDREW C | NY | Nurse Practitioner | 1871698498 | 2025-07-21 | active | — |
| Yellow Springs Primary Care, Inc. | OH | Company | 1194288514 | 2025-07-21 | active | Excluded - 2025-07-21 |
| Donald Gronbeck | OH | Person | 1235366709 | 2025-07-21 | active | Excluded - 2025-07-21 |
| RAUSCH JAMES | NY | Director of Operations | — | 2025-07-21 | active | — |
| Lovie Griffin | LA | Person | — | 2025-07-21 | active | LA R.S. 14:70.1 - 2025-07-21 |
| MEHTA PAAYAL PINKY | NY | Physician | 1114951613 | 2025-07-21 | active | — |
| MATTHEWS STEPHEN DANIEL | NY | Physician | 1982099297 | 2025-07-20 | active | — |
| Clyde Daigle | LA | Person | 1508010547 | 2025-07-20 | active | LA R.S. 46:437.14(A)(11) - 2025-07-20 |
| James P. Monahan | PA | Person | 1720418528 | 2025-07-20 | active | Precluded - 2025-07-20 |
| Hill, Pebble Artrevious | SC | LegalEntity | — | 2025-07-20 | active | Excluded - 2025-07-20 |
| Pamela R. Keith | PA | Person | — | 2025-07-20 | active | Precluded - 2025-07-20 |
| Erika E. Rosa | PA | Person | 1437623105 | 2025-07-20 | active | Precluded - 2025-07-20 |
| YOUNG DAVID MATTHEW | NY | Physician | 1851301204 | 2025-07-20 | active | — |
| John C. Oliver III | PA | Person | — | 2025-07-20 | active | Precluded - 2025-07-20 |
| RUBENOV OLEG | NY | Owner- Transportation Company | — | 2025-07-20 | active | — |
| SHOULDERS RAY ANTHONY | NY | Physician Assistant | — | 2025-07-20 | active | — |
| Nidia M. Childs | PA | Person | — | 2025-07-20 | active | Precluded - 2025-07-20 |
| Ryan D. Fralick | PA | Person | 1619112570 | 2025-07-20 | active | Precluded - 2025-07-20 |
| QUEEN JESSICA LANE | NY | Licensed Practical Nurse | — | 2025-07-20 | active | — |
| Kartaysa Berry | NV | LegalEntity | 1912287020 | 2025-07-18 | active | 2025-07-18 - 2035-07-18 |
| DIN LAM | NC | LegalEntity | 1447383286 | 2025-07-18 | active | STATE/FEDERAL - 2025-07-18 |
| Achor Valley Therapy Services LLC | NV | LegalEntity | 1295264513 | 2025-07-18 | active | 2025-07-18 - 2035-07-18 |
| Mental Wellness Solutions LLC | NV | LegalEntity | 1134874431 | 2025-07-18 | active | 2025-07-18 - 2035-07-18 |
| Mercedes Cardenas | NV | LegalEntity | 1518448745 | 2025-07-18 | active | 2025-07-18 - 2035-07-18 |
| Rhonda Adams | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Generational Wellness | AZ | ��� | 1952937286 | 2025-07-17 | 2030-07-17 | — |
| Dan Kamanzi | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Hussain Bukhari | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Sandrine Muteteri | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Britni Shea | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Gwees Integrated Health Services | AZ | ��� | 1336887892 | 2025-07-17 | 2030-07-17 | — |
| Patrick Reagan | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| VitalMind Medical Center LLC | NV | LegalEntity | 1710644877 | 2025-07-17 | active | 2025-07-17 - 2035-07-17 |
| Kelly Gillette | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Brian Finch | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Calitra Goss aka Tu Goss | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Antoinette Boyd aka Antoinette Clark | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| DeShawn Bryant | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Jason Roy aka Iram Shezadi | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Joseph Kamara | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Sarah Gwee | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Nicoli Eriksen | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Frieda Kamanzi | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Daimara Arias Socarras | NV | LegalEntity | 1821571688 | 2025-07-17 | active | 2025-07-17 - 2035-07-17 |
| Leemu Care LLC | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Emmanuel Niyitanga | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Jerome Jordan | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |
| Jamal Haroon | AZ | ��� | — | 2025-07-17 | 2030-07-17 | — |