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 |
|---|---|---|---|---|---|---|
| The Family House Behavioral | AZ | ��� | 1891320271 | 2025-03-16 | 2030-03-16 | — |
| Beverly Martin | LA | Person | — | 2025-03-14 | active | CNA Finding - 2025-03-14 |
| SJ HEALTHCARE MANAGEMENT SERVICES, LLC | NY | Medical Billing Company | — | 2025-03-13 | active | — |
| Polly Young | DE | LegalEntity | — | 2025-03-13 | active | 2025-03-13 - 2030-03-13 |
| NEWCOMBE SCOTT | NY | Medical Biller | — | 2025-03-13 | active | — |
| FISHBERGER KENNETH I | NY | Physician | 1649291451 | 2025-03-13 | active | — |
| Mindful Missions of SC | SC | LegalEntity | 1679188528 | 2025-03-13 | active | Terminated for Cause - 2025-03-13 |
| Polly Young | PA | Person | — | 2025-03-13 | active | Precluded - 2025-03-13 |
| CASTRO DIANA | NY | Podiatrist | 1518993476 | 2025-03-13 | active | — |
| SJT DRUG CORP AKA/DBA CORONA CHEMISTS PHARMACY | NY | Pharmacy | 1417540840 | 2025-03-13 | active | — |
| BROADWAY RX ENTERPRISES INC | NY | Pharmacy | 1376074005 | 2025-03-13 | active | — |
| Deiavonte Day | LA | Person | — | 2025-03-13 | active | DSW Finding - 2025-03-13 |
| RIZZO TANIA M | NY | Pharmacy President | — | 2025-03-13 | active | — |
| Raheem Jackson | LA | Person | — | 2025-03-13 | active | DSW Finding - 2025-03-13 |
| GRENNAN KIMBERLY DIANE | NY | Registered Nurse | 1619308012 | 2025-03-13 | active | — |
| Dontae Bivens | MI | Person | — | 2025-03-13 | active | 2025-03-13 - 2016-11-14 |
| Odyssey Health Group Inc. | SC | LegalEntity | 1952707309 | 2025-03-13 | active | Terminated for Cause - 2025-03-13 |
| TUPER PARKER | NY | Direct Support Professional | — | 2025-03-13 | active | — |
| SPINNER JESSICA LYNN | NY | Licensed Practical Nurse | — | 2025-03-13 | active | — |
| Judy Robinson | LA | Person | — | 2025-03-13 | active | DSW Finding - 2025-03-13 |
| Cross, Ashley Nicole | SC | LegalEntity | 1336429935 | 2025-03-12 | active | Excluded - 2025-03-12 |
| Mandeep S. Oberoi | PA | Person | 1922158542 | 2025-03-12 | active | Precluded - 2025-03-12 |
| Ja'Cara Little | LA | Person | — | 2025-03-12 | active | Voluntary - 2025-03-12 |
| Tyesha Willis | PA | Person | — | 2025-03-12 | active | Precluded - 2025-03-12 |
| Dairyonna James | LA | Person | — | 2025-03-12 | active | DSW Finding - 2025-03-12 |
| Tyesha Willis | DE | LegalEntity | — | 2025-03-12 | active | 2025-03-12 - 2030-03-12 |
| David J Smith | NE | Person | 1811930357 | 2025-03-11 | active | VN-Violation of NMAP Policy - 2025-03-11 |
| MARIA DE FATIMA B FERNANDES | MA | LegalEntity | — | 2025-03-11 | active | VIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2025-03-11 |
| NANCY CORTES | MA | LegalEntity | — | 2025-03-11 | active | VIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2025-03-11 |
| Valerie Antoine | LA | Person | 1487170866 | 2025-03-10 | active | LA R.S. 14:70.1 - 2025-03-10 |
| Amber Miller | LA | Person | — | 2025-03-10 | active | Voluntary - 2025-03-10 |
| Christopher Johnston | LA | Person | — | 2025-03-10 | active | 18 U.S.C. § 1349 & 18 U.S.C. § 371 - 2025-03-10 |
| Primary MC LLC | NV | LegalEntity | 1457108805 | 2025-03-10 | active | 2025-03-10 - 2035-03-10 |
| Nyurkee Barriel Rey | NV | LegalEntity | — | 2025-03-10 | active | 2025-03-10 - 2035-03-10 |
| Crystal N.G. Bianchi | PA | Person | 1790999076 | 2025-03-10 | active | Precluded - 2025-03-10 |
| Leann Williams | NE | Person | — | 2025-03-10 | active | VN-Violation of NMAP Policy - 2025-03-10 |
| Trent Brockmeier | LA | Person | — | 2025-03-10 | active | 18 U.S.C. § 1349 & 18 U.S.C. § 3712 - 2025-03-10 |
| Lewis Warner | PA | Person | — | 2025-03-10 | active | Precluded - 2025-03-10 |
| Lewis Warner | DE | LegalEntity | — | 2025-03-10 | active | 2025-03-10 - 2030-03-10 |
| HASSAN MOHAMED ALAA | NY | Pharmacist | 1245613587 | 2025-03-09 | active | — |
| COLLIER DEBORAH ANN | NY | Registered Nurse | — | 2025-03-09 | active | — |
| CHO WOOJIN | NY | Physician | 1275859563 | 2025-03-09 | active | — |
| ENU CHRISTOPHER CHUKWUEMEKA | NY | Physician | 1679570824 | 2025-03-09 | active | — |
| CURRAN SARA JANE | NY | Pharmacist | 1679857403 | 2025-03-09 | active | — |
| WHITE ELLA RAE | NY | Direct Support Professional | — | 2025-03-09 | active | — |
| WILLIAMS STEFANIE L | NY | Registered Nurse | — | 2025-03-09 | active | — |
| LAVENTURE ROBERT KENDALL | NY | Registered Nurse | — | 2025-03-09 | active | — |
| YOUNG ROBERT | NY | Massage Therapist | — | 2025-03-09 | active | — |
| Mariela Contreras-Barajas | MI | Person | 1144788654 | 2025-03-08 | active | Suspended - 2025-03-08 |
| Ahmad, Ali | MS | Person | 1427583293 | 2025-03-07 | active | Surrender of Medical License - 2025-03-07 |