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 |
|---|---|---|---|---|---|---|
| Estefani Jeres | DE | LegalEntity | — | 2025-06-18 | active | 2025-06-18 - 2026-06-18 |
| Corwin Wilson | LA | Person | — | 2025-06-18 | active | DSW Finding - 2025-06-18 |
| Georgi, Jennifer N. | SC | LegalEntity | 1083723084 | 2025-06-18 | active | Terminated for Cause - 2025-06-18 |
| Lucretia Coleman | LA | Person | — | 2025-06-18 | active | LA R.S. 14:70.1 - 2025-06-18 |
| Carroll Hines | DE | LegalEntity | — | 2025-06-18 | active | 2025-06-18 - 2030-06-18 |
| Carroll Hines | PA | Person | — | 2025-06-18 | active | Precluded - 2025-06-18 |
| Audrick Coleman | LA | Person | — | 2025-06-18 | active | LA R.S. 14:70.1 - 2025-06-18 |
| Vilinda Simmons | LA | Person | — | 2025-06-17 | active | LA R.S. 14:70.1 - 2025-06-17 |
| Schoepf, Uwe J. | SC | LegalEntity | 1669410163 | 2025-06-17 | active | Terminated for Cause - 2025-06-17 |
| Wanda Causey | LA | Person | — | 2025-06-16 | active | Voluntary - 2025-06-16 |
| New Beginnings Behavioral | AZ | ��� | 1982364691 | 2025-06-16 | 2030-06-16 | — |
| Synergy Home Care Central Region | LA | Company | 1710979042 | 2025-06-16 | active | LA R.S. 46:437.14(A)(11) - 2025-06-16 |
| KENDRA PEARL WATTS | NC | LegalEntity | 1114428034 | 2025-06-16 | active | STATE - 2025-06-16 |
| David Burkett | LA | Person | 1245258094 | 2025-06-15 | active | LA R.S. 46:437.14(A)(10) - 2025-06-15 |
| Keith Hickey | LA | Person | 1538100078 | 2025-06-15 | active | LA R.S. 46:437.14(A)(10) - 2025-06-15 |
| La Belle Home Health Care Services, LLC | OH | Company | 1508292533 | 2025-06-13 | active | Excluded - 2025-06-13 |
| Gustavo S. Garcia | PA | Person | 1285384495 | 2025-06-13 | active | Precluded - 2025-06-13 |
| Justin Adibi | PA | Person | 1063073757 | 2025-06-13 | active | Precluded - 2025-06-13;Precluded - 2025-09-18 |
| Shannon Proctor Burgess | OH | Person | 1205324928 | 2025-06-13 | active | Excluded - 2025-06-13 |
| Kenneth Jay Owens | OH | Person | 1609612753 | 2025-06-13 | active | Suspended - 2025-06-13 |
| Excel Medical Center, LLC | PA | Company | 1942521810 | 2025-06-13 | active | Precluded - 2025-06-13 |
| John S. Michel | PA | Person | 1164697124 | 2025-06-13 | active | Precluded - 2025-06-13 |
| Justin Adibi | DE | Person | 1063073757 | 2025-06-13 | active | 2025-06-13;2025-09-18 |
| Christopher Jackson Davis | DE | Person | 1144473208 | 2025-06-13 | active | 2025-06-13;2026-01-20 |
| Sally E Njume-Tatsing | OH | Person | 1780763102 | 2025-06-13 | active | Excluded - 2025-06-13 |
| Jilaya Springer | LA | Person | — | 2025-06-12 | active | LA R.S. 14:70.1 - 2025-06-12 |
| Robin Lee Allis | DE | Person | 1356464507 | 2025-06-12 | active | 2025-06-12;2025-09-18 |
| JONATHAN A BENJAMIN | MA | LegalEntity | 1699734202 | 2025-06-12 | active | LICENSE REVOKED BY LICENSING BOARD - 2025-06-12 |
| Mariesa Tinkham | MI | Person | 1821429390 | 2025-06-12 | active | Suspended - 2025-06-12 |
| Hassan Abdallah | MI | Person | 1760767974 | 2025-06-11 | active | "Summary Suspension Termination - 2025-06-11 - 2020-11-04" |
| Gavin K Mata | PA | Person | — | 2025-06-11 | active | Precluded - 2025-06-11 |
| Hassan Khreizat | MI | Person | 1972812352 | 2025-06-11 | active | "Summary Suspension Termination - 2025-06-11 - 2020-11-09" |
| Emon Pabel | MI | Person | 1346001534 | 2025-06-11 | active | "Summary Suspension Termination - 2025-06-11 - 2026-02-27" |
| A Part of Our Family Home Care Agency LLC | PA | Company | 1932699899 | 2025-06-11 | active | Precluded - 2025-06-11 |
| Hassan Abdallah | MI | Person | 1669594099 | 2025-06-11 | active | "Summary Suspension Termination - 2025-06-11 - 2020-11-04" |
| Fatai Okunola | MI | Person | — | 2025-06-11 | active | "Summary Suspension Terminated - 2025-06-11 - 2024-01-22" |
| Wayne Campus Pharmacy | MI | Company | 1760767974 | 2025-06-11 | active | "Summary Suspension - Summary Suspension Termination - 2025-06-11 - 2020-11-04" |
| Sr Home Care Service LLC | MI | Company | 1346001534 | 2025-06-11 | active | "Summary Suspension Termination - 2025-06-11 - 2026-02-27" |
| Ali Abdelrazzaq | MI | Person | 1932502283 | 2025-06-11 | active | "Summary Suspension Termination - 2025-06-11 - 2020-11-03" |
| Ark Pharmacy | MI | Company | 1932502283 | 2025-06-11 | active | "Summary Suspension Termination - 2025-06-11 - 2020-11-03" |
| A Part of Our Family Home Care Agency LLC | DE | LegalEntity | — | 2025-06-11 | active | 2025-06-11 - 2030-06-11 |
| Universal Pharmacy | MI | Company | 1700057726 | 2025-06-11 | active | "Summary Suspension Termination - 2025-06-11 - 2020-11-09" |
| Universal Grace Pharmacy | MI | Company | 1417328436 | 2025-06-11 | active | "Summary Suspension Termination - 2025-06-11 - 2020-11-09" |
| Gavin Kerry Mata | DE | LegalEntity | — | 2025-06-11 | active | 2025-06-11 - 2030-06-11 |
| Bobby Washington | LA | Person | — | 2025-06-11 | active | CNA Finding - 2025-06-11 |
| ADELEKE MICHAEL | NY | Licensed Practical Nurse | 1881908705 | 2025-06-10 | active | — |
| BLAKE AKEEM | NY | Child Care Therapy Aide | — | 2025-06-10 | active | — |
| Kaylee M. Donas | PA | Person | 1174162325 | 2025-06-10 | active | Precluded - 2025-06-10 |
| CUNNINGHAM JOSEPH MICHAEL | NY | Licensed Practical Nurse | — | 2025-06-10 | active | — |
| Mary Ann Clayton | IA | Person | — | 2025-06-10 | active | 441 IAC 79.2(2)(f)(k)(m)(s)(v) - 2025-06-10 |