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 |
|---|---|---|---|---|---|---|
| Cassandra Marie Strube | IA | Person | — | 2025-06-10 | active | 441 IAC 79.2(2)(f)(k)(s) - 2025-06-10 |
| BROOKS DAMION | NY | Direct Support Professional | — | 2025-06-10 | active | — |
| James Davin Dickerson | IA | Person | 1801839444 | 2025-06-10 | active | 441 iAC 792.2(2)(f)(k)(m)(v) - 2025-06-10 |
| Cassie L Forde | IA | Person | — | 2025-06-10 | active | 441 IAC 79.2(2)(f)(k)(m) - 2025-06-10 |
| Kaylee M. Donas | PA | Person | 1174162325 | 2025-06-10 | active | Precluded - 2025-06-10 |
| Dante Moore | DE | LegalEntity | — | 2025-06-09 | active | 2025-06-09 - 2030-06-09 |
| Dante Moore | PA | Person | — | 2025-06-09 | active | Precluded - 2025-06-09 |
| John Biddle, Jr | LA | Person | 1902010952 | 2025-06-09 | active | LA R.S. 46:437.14(A)(11) - 2025-06-09 |
| Holistic, Inc. | WV | Company | 1811405616 | 2025-06-09 | active | Owner has criminal conviction - 2025-06-09 |
| Shawn Blankenship | WV | Person | 1851744437 | 2025-06-09 | active | Felony Conviction - 2025-06-09 |
| Distinct Transportation Services | AZ | ��� | 1063102612 | 2025-06-08 | 2030-06-08 | — |
| MALIK, MOHD A | MO | LegalEntity | 1942208715 | 2025-06-07 | active | FELONY GUILTY PLEA - 2025-06-07 |
| LIBRACH, STANLEY L | MO | LegalEntity | 1346342920 | 2025-06-07 | active | MEDICARE REVOCATION - 2025-06-07 |
| ALI, ASIM MUHAMMAD | MO | LegalEntity | 1821047218 | 2025-06-07 | active | FELONY GUILTY PLEA - 2025-06-07 |
| Anne Rowland | KY | Person | 1164682084 | 2025-06-06 | active | Violation of KMAP Policy - 2025-06-06 |
| Austin Christopher | AZ | ��� | — | 2025-06-06 | 2030-06-06 | — |
| Jessica Stanford | AZ | ��� | — | 2025-06-06 | 2030-06-06 | — |
| NZAYISENGA MUHIRE | AZ | ��� | — | 2025-06-06 | 2030-06-06 | — |
| Therapeutic Healthcare | LA | Company | 1669001640 | 2025-06-05 | active | 18 U.S.C. § 1349 - 2025-06-05 |
| Katelyn Swizer | MI | Person | 1831650217 | 2025-06-05 | active | "Summary Suspension Suspended - 2025-06-05 - 2025-09-17" |
| Faith Care Solutions | AZ | ��� | 1922742063 | 2025-06-05 | 2030-06-05 | — |
| Bluewater Healthcare | LA | Company | — | 2025-06-05 | active | 18 U.S.C. § 1349 - 2025-06-05 |
| Michael Riggins | LA | Person | — | 2025-06-05 | active | 18 U.S.C. § 1349 - 2025-06-05 |
| Michael Nelson | NE | Person | — | 2025-06-04 | active | VN-Violation of NMAP Policy - 2025-06-04 |
| Crystal Forman | PA | Person | — | 2025-06-04 | active | Precluded - 2025-06-04 |
| Erica Lunkwitz | NE | Person | — | 2025-06-04 | active | VN-Violation of NMAP Policy - 2025-06-04 |
| Crystal Forman | DE | LegalEntity | — | 2025-06-04 | active | 2025-06-04 - 2030-06-04 |
| KOCH PAUL | NY | Physician | 1538125414 | 2025-06-03 | active | — |
| CHUN DAVID | NY | Direct Support Professional | — | 2025-06-03 | active | — |
| MCCLOUD THOMAS | NY | Direct Support Professional | — | 2025-06-03 | active | — |
| DICKINSON JOHN CARLTON | NY | Physician | 1487686622 | 2025-06-03 | active | — |
| JENKINS KAREN | NY | Assistant Manager | — | 2025-06-03 | active | — |
| HILTON WILLIAM MARTIN | NY | Physician | 1285827006 | 2025-06-03 | active | — |
| WALKER MELISSA | NY | Registered Nurse | — | 2025-06-03 | active | — |
| LEWIS RYAN | NY | RespiratoryTherapist | — | 2025-06-03 | active | — |
| AEX Express, LLC | LA | Company | 1679990907 | 2025-06-02 | active | LA R.S. 14:70.1 - 2025-06-02;Program Violations - 2018-04-20 |
| Samia Psychiatry | AZ | ��� | 1265151807 | 2025-06-02 | 2030-06-02 | — |
| Khizer Khan | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Rosalyn Young | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Khaafi Gray-Wallace | DE | LegalEntity | — | 2025-06-02 | active | 2025-06-02 - 2030-06-02 |
| Beyond Words | LA | Company | 1104176825 | 2025-06-02 | active | LA R.S. 46:437.14(A)(11) - 2025-06-02 |
| Tiffanie Lebby | LA | Person | — | 2025-06-02 | active | LAC 50:1.4147.A.1, A.2, A.14 - 2025-06-02 |
| Raeshaun Washington | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Janice Nugent | LA | Person | 1699748525 | 2025-06-02 | active | LA R.S. 46:437.14(A)(11) - 2025-06-02 |
| My Behavioral Health Treatment Center | AZ | ��� | 1376209916 | 2025-06-02 | 2030-06-02 | — |
| Samia Psychiatry IOP PLLC | AZ | ��� | 1265151807 | 2025-06-02 | 2030-06-02 | — |
| Tia Ross | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Lucy Akpan | AZ | ��� | 1568044519 | 2025-06-02 | 2030-06-02 | — |
| Devonte Boles | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Dana Floyd | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |