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 |
|---|---|---|---|---|---|---|
| Anthony Wadley | PA | Person | — | 2025-05-06 | active | Precluded - 2025-05-06 |
| Pellini, Paul | SC | LegalEntity | 1568601821 | 2025-05-06 | active | Terminated for Cause - 2025-05-06 |
| Crystal Porto | DE | LegalEntity | 1356835524 | 2025-05-06 | active | 2025-05-06 - 2030-05-06 |
| Bankhead, Ronna Kay | SC | LegalEntity | 1477763001 | 2025-05-06 | active | Terminated for Cause - 2025-05-06 |
| EDEL WILLIAM ALTON | NY | Registered Nurse | 1265752471 | 2025-05-06 | active | — |
| Khloe Starr | LA | Person | — | 2025-05-05 | active | DSW Finding - LA R.S. 14:35 - 2025-05-05 - 2024-01-22 |
| Jeffrey Foss | LA | Person | 1821027202 | 2025-05-04 | active | LA R.S. 46:437.14(A)(11) - 2025-05-04 |
| Trenton Hinds | LA | Person | 1851583298 | 2025-05-04 | active | LA R.S. 46:437.14(A)(11) - 2025-05-04 |
| Conant Plaza Pharmacy LLC | MI | Company | 1437202587 | 2025-05-02 | active | "Summary Suspension Terminated - 2025-05-02 - 2018-05-22" |
| Samir R Berri | MI | Person | 1437202587 | 2025-05-02 | active | "Summary Suspension Terminated - 2025-05-02 - 2018-05-22" |
| Saberiana Vaughn | LA | Person | — | 2025-05-02 | active | CNA Finding - 2025-05-02 |
| Bettye Richardson | LA | Person | — | 2025-05-01 | active | DSW Finding - Voluntary - 2025-05-01 - 2025-03-05 |
| Shanone Chatman-Ashley | LA | Person | 1831547868 | 2025-05-01 | active | 18 U.S.C. § 1347 and 2 - 2025-05-01 |
| Hardee, Joseph | SC | LegalEntity | 1568420321 | 2025-05-01 | active | Terminated for Cause - 2025-05-01 |
| Kerby Killingham | MI | Person | 1750893210 | 2025-05-01 | active | Disciplinary Limited License - 2025-05-01 |
| William Payton | DE | LegalEntity | — | 2025-04-30 | active | 2025-04-30 - 2030-04-30 |
| Castro, Fernando X. | SC | LegalEntity | 1518063718 | 2025-04-30 | active | Terminated for Cause - 2025-04-30 |
| Theresa A Kordish | MI | Person | 1437169034 | 2025-04-30 | active | "Summary Suspension Summary Suspension - 2025-04-30 - 2024-09-04" |
| Christopher M Smith | MI | Person | 1528418985 | 2025-04-30 | active | Suspended - 2025-04-30 |
| Dianna Davis | LA | Person | — | 2025-04-30 | active | CNA Finding - 2025-04-30 |
| Brian M. Edelstein | PA | Person | 1942202726 | 2025-04-30 | active | Precluded - 2025-04-30 |
| Above & Beyond Home Care Solutions Inc | MI | Company | 1235620451 | 2025-04-30 | active | Summary Suspension - 2025-04-30 - 2025-04-29 |
| Sussan Fung | NV | LegalEntity | 1639649536 | 2025-04-30 | active | 2025-04-30 - 2028-04-30 |
| William Payton | PA | Person | — | 2025-04-30 | active | Precluded - 2025-04-30 |
| Tiffany M. Farris | DE | Person | — | 2025-04-30 | active | 2025-04-30 - 2030-04-30 |
| Zane Medical Group LLC | NV | LegalEntity | 1235609140 | 2025-04-30 | active | 2025-04-30 - 2028-04-30 |
| Angel Matsey | MI | Person | 1235620451 | 2025-04-30 | active | Summary Suspension - 2025-04-30 |
| Vonetta Fleming | LA | Person | — | 2025-04-29 | active | LA R.S. 14:70.1 - 2025-04-29 |
| Terry Howard | LA | Person | — | 2025-04-29 | active | DSW Finding - 2025-04-29 |
| Jadia Kendells | DE | Person | — | 2025-04-29 | active | 2025-04-29 - 2030-04-29 |
| Wanda Dawkins | MI | Person | 1235620451 | 2025-04-29 | active | Summary Suspension - 2025-04-29 |
| KHATUN, NAHIDA | NY | CDPAP Aide | — | 2025-04-29 | active | — |
| HASAN MD | NY | CDPAP Aide | — | 2025-04-29 | active | — |
| Wanda Dawkins | MI | Person | — | 2025-04-29 | active | Summary Suspension - 2025-04-29 |
| Tanya Lynn Jordan | IA | Person | — | 2025-04-29 | active | 441 IAC 79.2(2)(f)(k)(s)(v) - 2025-04-29 |
| Kimberly Rumbo | IA | Person | — | 2025-04-29 | active | 441 IAC 79.2(2)(f)(k)(m)(s)(v) - 2025-04-29 |
| Jadia Kendells | PA | Person | — | 2025-04-29 | active | Precluded - 2025-04-29 |
| William Bruins JR | LA | Person | — | 2025-04-29 | active | DSW Finding - 2025-04-29;LA R.S. 14:93.3 - 2023-02-22 |
| PASTINA IRINA | NY | Homecare Agency Payroll Manager | — | 2025-04-28 | active | — |
| Daelyn Johnson | LA | Person | — | 2025-04-28 | active | DSW Finding - 2025-04-28 |
| LUDWIG ARTHUR | NY | Massage Therapist | — | 2025-04-28 | active | — |
| ZAVALA JOSHUA | NY | Medical Assistant | — | 2025-04-28 | active | — |
| Shirley Johnson | LA | Person | — | 2025-04-28 | active | DSW Finding - 2025-04-28 |
| LENABURG SIAVONH | NY | Licensed Mental Health Counselor | 1316429400 | 2025-04-28 | active | — |
| TAYLOR YUSRA | NY | Residential Counselor | — | 2025-04-28 | active | — |
| KREMEN JENYA | NY | Homecare Agency-Billing Manager | — | 2025-04-28 | active | — |
| Camisha Robinson | LA | Person | — | 2025-04-28 | active | LA R.S. 14:70.1 - 2025-04-28 |
| PERSAUD JULIE M | NY | Case Manager | 1235723941 | 2025-04-28 | active | — |
| Phoenix House Recovery | AZ | ��� | 1962083543 | 2025-04-27 | 2030-04-27 | — |
| Courtney Fallon Long | AZ | ��� | — | 2025-04-27 | 2030-04-27 | — |