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 |
|---|---|---|---|---|---|---|
| Khizer Khan | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Next Level Crisis Connect | AZ | ��� | 1346843901 | 2025-06-02 | 2030-06-02 | — |
| Wanda Jane McKinney | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Tia Ross | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Serenity Wellness | AZ | ��� | 1750094108 | 2025-06-02 | 2030-06-02 | — |
| Samia Psychiatry IOP PLLC | AZ | ��� | 1265151807 | 2025-06-02 | 2030-06-02 | — |
| Kristina Selby-Brouchet | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Farrukh Ali | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Samia Psychiatry | AZ | ��� | 1265151807 | 2025-06-02 | 2030-06-02 | — |
| My Behavioral Health Treatment Center | AZ | ��� | 1376209916 | 2025-06-02 | 2030-06-02 | — |
| Tiffanie Lebby | LA | Person | — | 2025-06-02 | active | LAC 50:1.4147.A.1, A.2, A.14 - 2025-06-02 |
| AEX Express, LLC | LA | Company | 1679990907 | 2025-06-02 | active | LA R.S. 14:70.1 - 2025-06-02;Program Violations - 2018-04-20 |
| Lucy Akpan | AZ | ��� | 1568044519 | 2025-06-02 | 2030-06-02 | — |
| Khaafi Gray-Wallace | DE | LegalEntity | — | 2025-06-02 | active | 2025-06-02 - 2030-06-02 |
| Agricola Wellness | AZ | ��� | 1447970066 | 2025-06-02 | 2030-06-02 | — |
| Tiffany Johnson | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Mahamed Farah | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Anitra Stansil | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| Raeshaun Washington | AZ | ��� | — | 2025-06-02 | 2030-06-02 | — |
| BRUGEMANN, JERRY J | MO | LegalEntity | 1033161120 | 2025-06-01 | active | FELONY GULITY PLEA - 2025-06-01 |
| Christian Bengermino | PA | Person | — | 2025-05-30 | active | Precluded - 2025-05-30 - 2025-11-20 |
| Frank Bengermino | DE | Person | 1992156798 | 2025-05-30 | active | 2025-05-30 - 2030-05-30;2026-01-20 |
| Frank Bengermino | PA | Person | 1992156798 | 2025-05-30 | active | Precluded - 2025-05-30;Precluded - 2026-01-20 |
| ROCKSTAR HOME CARE LLC | NC | LegalEntity | 1295312056 | 2025-05-30 | active | STATE - 2025-05-30 |
| Christian Bengermino | DE | LegalEntity | — | 2025-05-30 | active | 2025-05-30 - 2030-05-30 |
| Astria Fields | LA | Person | — | 2025-05-29 | active | DSW Finding - 2025-05-29;DSW Finding - 2025-09-04 |
| Michael Beckham | PA | Person | — | 2025-05-28 | active | Precluded - 2025-05-28 |
| Angelo Amorosi | PA | Person | — | 2025-05-28 | active | Precluded - 2025-05-28 |
| Elizabeth Thompson | DE | LegalEntity | — | 2025-05-28 | active | 2025-05-28 - 2030-05-28 |
| Garrett Dello Buono | DE | LegalEntity | — | 2025-05-28 | active | 2025-05-28 - 2030-05-28 |
| Evan Gusz | DE | LegalEntity | — | 2025-05-28 | active | 2025-05-28 - 2030-05-28 |
| Garrett Dello Buono | PA | Person | — | 2025-05-28 | active | Precluded - 2025-05-28 |
| Berry Davis | DE | LegalEntity | — | 2025-05-28 | active | 2025-05-28 - 2030-05-28 |
| NEXTGEN LABORATORIES INC | MO | LegalEntity | 1558755496 | 2025-05-28 | active | BAD DEBT - 2025-05-28 |
| Evan Gusz | PA | Person | — | 2025-05-28 | active | Precluded - 2025-05-28 |
| Elizabeth Thompson | PA | Person | — | 2025-05-28 | active | Precluded - 2025-05-28 |
| Michael Beckham | DE | LegalEntity | — | 2025-05-28 | active | 2025-05-28 - 2030-05-28 |
| Peter Dello Buono | PA | Person | — | 2025-05-28 | active | Precluded - 2025-05-28 |
| Berry Davis | PA | Person | — | 2025-05-28 | active | Precluded - 2025-05-28 |
| Peter Dello Buono | DE | Person | — | 2025-05-28 | active | 2025-05-28 - 2030-05-28 |
| Angelo Amorosi | DE | LegalEntity | — | 2025-05-28 | active | 2025-05-28 - 2030-05-28 |
| Gregory David Harvey | DE | Person | 1710926480 | 2025-05-27 | active | 2025-05-27;2025-10-20 |
| Cora L Grixby | NE | Person | — | 2025-05-27 | active | VN-Violation of NMAP Policy - 2025-05-27 |
| McCurdy, Tammi | CO | LegalEntity | 1003522418 | 2025-05-27 | active | 10 C.C.R. 2505-10, Section 8.076.1.7.e - 2025-05-27 |
| Rodney Wayne Sosa | IA | Person | 1720041916 | 2025-05-27 | active | 441 IAC 79.2(2)(f)(k)(m)(s) - 2025-05-27;OIG-1128(a)(1) - 2024-11-20 |
| RUSSELL SARA RPA AKA/DBA SARA DUNNE | NY | Physicians Assistant | 1053671859 | 2025-05-26 | active | — |
| DOVLATYAN VARUZHAN MD | NY | Physician | 1811928369 | 2025-05-26 | active | — |
| SCHWARTZ JOSEPH | NY | Owner | — | 2025-05-26 | active | — |
| HARRIS PHILLIP | NY | Certified Nurse Aide | — | 2025-05-26 | active | — |
| BALDWIN HILARY E MD | NY | Physician | 1962496265 | 2025-05-26 | active | — |