State Medicaid Exclusions
State-level Medicaid exclusion lists. 83,639 records. Currently loaded: NY (OMIG).
| Provider name | State | Provider type | NPI | Exclusion date | Reinstated | Reason |
|---|---|---|---|---|---|---|
| Anthony J. Wadley II | PA | Person | — | 2025-09-18 | active | Precluded - 2025-09-18 |
| Mersdorf, Michelle | MS | Person | 1538470190 | 2025-09-18 | active | Failure to repay Medicaid - 2025-09-18 |
| Kyla Cass | NV | LegalEntity | — | 2025-09-18 | active | 2025-09-18 - 2035-09-18 |
| Passion for Life Medical LLC | NV | LegalEntity | 1902636434 | 2025-09-18 | active | 2025-09-18 - 2035-09-18 |
| Beachem, Kenyuana | MS | Person | 1851703961 | 2025-09-18 | active | Failure to repay Medicaid - 2025-09-18 |
| CodeRed Healthcare Services, LLC | PA | Company | 1891202644 | 2025-09-18 | active | Precluded - 2025-09-18 |
| AAOBH LLC | NV | LegalEntity | 1275278301 | 2025-09-18 | active | 2025-09-18 - 2035-09-18 |
| Alejandra Avila Balsa | NV | LegalEntity | 1467171645 | 2025-09-18 | active | 2025-09-18 - 2035-09-18 |
| Alicia Gutierrez Villegas | NV | LegalEntity | — | 2025-09-18 | active | 2025-09-18 - 2035-09-18 |
| Nyshimah Octavia Anderson | DE | LegalEntity | — | 2025-09-18 | active | 2025-09-18 - 2030-09-18 |
| Castro, Dan Joshua III | SC | LegalEntity | 1457301293 | 2025-09-18 | active | Excluded - 2025-09-18 |
| Heavenly Mind LLC | NV | LegalEntity | 1811681232 | 2025-09-18 | active | 2025-09-18 - 2035-09-18 |
| Lorin, Henry Otto | SC | LegalEntity | 1346219524 | 2025-09-18 | active | Terminated for Cause - 2025-09-18 |
| Carissa Haulman | NE | Person | 1639061781 | 2025-09-18 | active | VN-Violation of NMAP Policy - 2025-09-18 |
| CASTRO DANIEL | NY | Physician | 1457301293 | 2025-09-18 | active | — |
| Citi Med | NV | LegalEntity | 1417646860 | 2025-09-18 | active | 2025-09-18 - 2035-09-18 |
| Robin L. Allis | PA | Person | 1356464507 | 2025-09-18 | active | Precluded - 2025-09-18 - 2025-06-12 |
| Nyshimah O. Anderson | PA | Person | — | 2025-09-18 | active | Precluded - 2025-09-18 |
| Humphrey Chen | PA | Person | — | 2025-09-18 | active | Precluded - 2025-09-18 |
| Cwenteenia Wilson | NV | LegalEntity | — | 2025-09-18 | active | 2025-09-18 - 2035-09-18 |
| Doctors Home Line PLLC | MI | Company | 1477059087 | 2025-09-17 | active | Summary Suspension - 2025-09-17 |
| Byron Navarre | LA | Person | — | 2025-09-17 | active | DSW Finding - 2025-09-17 |
| Channon Rothmiller | DE | LegalEntity | — | 2025-09-17 | active | 2025-09-17 - 2026-01-12 - 2030-09-17 |
| Channon Rothmiller | PA | Person | — | 2025-09-17 | active | Precluded - 2025-09-17 |
| Lakeyta Moore | LA | Person | — | 2025-09-17 | active | DSW Finding - 2025-09-17 |
| Mohmmed Al-Shihabi | MI | Person | 1477059087 | 2025-09-17 | active | Summary Suspension - 2025-09-17 |
| Tanesha Timberlake | OH | Person | 1003514159 | 2025-09-17 | active | Suspended - 2025-09-17 |
| Kory Danyelle Sanders | WV | Person | 1730754748 | 2025-09-17 | active | Program related conviction - 2025-09-17 |
| Mohmmed Al-Shihabi | MI | Person | 1679678353 | 2025-09-17 | active | Summary Suspension - 2025-09-17 |
| Deundra Jackson | LA | Person | — | 2025-09-16 | active | DSW Finding - 2025-09-16 |
| Vanessa Pittman | NE | Person | — | 2025-09-16 | active | VN-Violation of NMAP Policy - 2025-09-16 |
| Stephanie D Pauly | MI | Person | 1326260530 | 2025-09-16 | active | Suspended - 2025-09-16 |
| Carlnisha Houston | LA | Person | — | 2025-09-16 | active | DSW Finding - 2025-09-16 |
| Rachel Faith Martinez | IA | Person | — | 2025-09-16 | active | 441 IAC 79.2(2)(f)(k)(m)(s)(v) - 2025-09-16 |
| Katherine Elizabeth Tolson | IA | Person | — | 2025-09-16 | active | 441 IAC 79.2(2)(a)(f)(k)(s) - 2025-09-16 - 2027-09-16 |
| Khalilah Outen | DE | LegalEntity | — | 2025-09-15 | active | 2025-09-15 - 2026-09-15 |
| J WM Decker Management LLC | MI | Company | 1184231425 | 2025-09-15 | active | Summary Suspension - 2025-09-15 |
| Regina Black | MI | Person | — | 2025-09-15 | active | 1128(a)(1) - 2025-09-15 |
| Khalilah Outen | PA | Person | — | 2025-09-15 | active | Precluded - 2025-09-15 |
| ProLab LLC | SC | LegalEntity | 1003238676 | 2025-09-15 | active | Terminated for Cause - 2025-09-15 |
| Jonathan William Decker | MI | Person | 1619275781 | 2025-09-15 | active | Summary Suspension - 2025-09-15 |
| Jonathan William Decker | MI | Person | 1184231425 | 2025-09-15 | active | Summary Suspension - 2025-09-15 |
| Majestic Wellness Clinics Inc | AZ | ��� | 1265122279 | 2025-09-14 | 2030-09-14 | — |
| Philautia Wellness Center | AZ | ��� | 1235907478 | 2025-09-14 | 2030-09-14 | — |
| Ghuson T Zouabi | OH | Person | — | 2025-09-12 | active | Excluded - 2025-09-12 |
| Falak Alzoubi | OH | Person | — | 2025-09-12 | active | Excluded - 2025-09-12 |
| Suad Alzouabi | OH | Person | — | 2025-09-12 | active | Excluded - 2025-09-12 |
| Shakia Beyard | LA | Person | — | 2025-09-12 | active | DSW Finding - 2025-09-12 |
| Lamyia Sneed | MI | Person | — | 2025-09-12 | active | "Summary Suspension Terminated - 2025-09-12 - 2020-06-16" |
| Austin Dudenhoefer | PA | Person | 1598243073 | 2025-09-11 | active | Precluded - 2025-09-11;Precluded - 2025-11-20 |