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 |
|---|---|---|---|---|---|---|
| Grace Crockett | AZ | ��� | — | 2024-12-01 | 2029-12-01 | — |
| TRAVORES WILLIS | GA | Person | — | 2024-11-30 | active | 2024-11-30 - 2021-05-28 |
| Joseph Bark | KY | Person | 1639171176 | 2024-11-29 | active | Violation of KMAP Policy - 2024-11-29 |
| Carley Zimmerman | MI | Person | 1518505338 | 2024-11-28 | active | Suspended - 2024-11-28 |
| Valley Medi Pro LLC | NV | LegalEntity | 1477332880 | 2024-11-27 | active | 2024-11-27 - 2034-11-27 |
| Octavia Harbour | NE | Person | — | 2024-11-27 | active | VN-Violation of NMAP Policy - 2024-11-27 |
| Khadijah Muhammad | NV | LegalEntity | — | 2024-11-27 | active | 2024-11-27 - 2034-11-27 |
| Sarah Reynolds | NE | Person | — | 2024-11-27 | active | VN-Violation of NMAP Policy - 2024-11-27 |
| Agape Care Clinic LLC | NV | LegalEntity | 1487311353 | 2024-11-27 | active | 2024-11-27 - 2034-11-27 |
| Andrew Misherfi | NV | LegalEntity | 1194506378 | 2024-11-27 | active | 2024-11-27 - 2034-11-27 |
| Omaha Integrated Health P.C. | NE | Company | 1285817346 | 2024-11-26 | active | VN-Violation of NMAP Policy - 2024-11-26 |
| JaLynn Love | NE | Person | — | 2024-11-26 | active | VN-Violation of NMAP Policy - 2024-11-26 |
| Vu, Thao | CO | LegalEntity | 1518628833 | 2024-11-26 | active | 10 C.C.R. 2505-10, Section 8.076.1.7.e - 2024-11-26 |
| Alan M Atkinson | MI | Person | 1649250879 | 2024-11-26 | active | Summary Suspension - 2024-11-26 |
| Kyle Latrae Coney | IA | Person | — | 2024-11-26 | active | 441 IAC 79.2(2)(f)(s) - 2024-11-26 |
| Whitcomb, Laura | CO | LegalEntity | 1255844676 | 2024-11-26 | active | 10 C.C.R. 2505-10, Section 8.076.1.7.e - 2024-11-26 |
| Broderick Carroll | DE | LegalEntity | — | 2024-11-26 | active | 2024-11-26 - 2029-11-26 |
| Travis S Tierney | NE | Person | 1467598003 | 2024-11-26 | active | VN-Violation of NMAP Policy - 2024-11-26 |
| Romero, Donald | CO | LegalEntity | 1194929919 | 2024-11-26 | active | 10 C.C.R. 2505-10, Section 8.076.1.7.e - 2024-11-26 |
| LONCKE NIGEL | NY | Peer Counselor | — | 2024-11-25 | active | — |
| KOTERASS KAYLA | NY | Direct Support Professional | — | 2024-11-25 | active | — |
| JOHNSON SADE | NY | Direct Support Professional | — | 2024-11-25 | active | — |
| Subhash Vyas | KY | Person | 1083644702 | 2024-11-25 | active | Violation of KMAP Policy - 2024-11-25 |
| Vinson's Home Help | MI | Company | — | 2024-11-25 | active | "Summary Suspension Termination - 2024-11-25 - 2021-11-24" |
| Seeds of Eden | ND | LegalEntity | 1063286821 | 2024-11-25 | active | Failure to comply with rules and regulations. - 2024-11-25 |
| Edward McQuillen | PA | Person | — | 2024-11-25 | active | Precluded - 2024-11-25 |
| Utopia Group Home | LA | Company | 1952527756 | 2024-11-25 | active | LA R.S. 46:437.14(A)(11) - 2024-11-25 |
| LILLIE SARAH A LPN | NY | Licensed Practical Nurse | 1457675597 | 2024-11-24 | active | — |
| COLEMAN TONYA S | NY | Pharmacist | 1861675381 | 2024-11-24 | active | — |
| HAMELL EDDIE | NY | Direct Support Professional | — | 2024-11-24 | active | — |
| GAYLE SHYEEN | NY | Security Officer | — | 2024-11-24 | active | — |
| LENT DAREN | NY | Direct Support Professional | — | 2024-11-24 | active | — |
| ISRAEL DAVID KENNETH MD | NY | Physician | 1710091129 | 2024-11-24 | active | — |
| MARIA RIVERA | MA | LegalEntity | — | 2024-11-23 | active | VIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2024-11-23 |
| NGOEUN CHHOUN | MA | LegalEntity | — | 2024-11-23 | active | VIOLATION OF MASSHEALTH PROGRAM PARTICIPATORY REQUIREMENTS - 2024-11-23 |
| Michelle L Weltzin-Trainer | IA | Person | 1043623671 | 2024-11-22 | active | 441 IAC 79.2(2)(m) - 2024-11-22 |
| Romona Negron | DE | Person | — | 2024-11-21 | active | 2024-11-21 - 2027-11-21 |
| Titus Gilbert | LA | Person | — | 2024-11-21 | active | DSW - 2024-11-21 |
| Patricia Slaughter | LA | Person | — | 2024-11-21 | active | DSW Finding - 2024-11-21 |
| Hayriye B. Gok | PA | Person | 1003078684 | 2024-11-21 | active | Precluded - 2024-11-21 |
| Subhash Vyas | WV | Person | 1083644702 | 2024-11-21 | active | WV BOM - 2024-11-21 |
| BOYLE RYAN | NY | Other | — | 2024-11-20 | active | — |
| Denisse B. Ortiz | PA | Person | — | 2024-11-20 | active | Precluded - 2024-11-20 |
| Nina M. Barkley | PA | Person | 1407238892 | 2024-11-20 | active | Precluded - 2024-11-20 - 2023-09-07 |
| Kondus, John Stephen | SC | LegalEntity | 1790855658 | 2024-11-20 | active | Excluded - 2024-11-20 |
| Dominique C Paige | OH | Person | 1841835758 | 2024-11-20 | active | Excluded - 2024-11-20 |
| Michael J McCormac | OH | Person | — | 2024-11-20 | active | Excluded - 2024-11-20 |
| MICHEL RONY | NY | Registered Nurse | — | 2024-11-20 | active | — |
| Daniel J. Foder | PA | Person | — | 2024-11-20 | active | Precluded - 2024-11-20 |
| Melvin M. Gwaikolo | PA | Person | — | 2024-11-20 | active | Precluded - 2024-11-20 |