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 |
|---|---|---|---|---|---|---|
| FLOREK JOANNE M | NY | Licensed Practical Nurse | — | 2024-09-15 | active | — |
| Michael Gray | AZ | ��� | — | 2024-09-15 | 2029-09-15 | — |
| Wildine Burgess | AZ | ��� | — | 2024-09-15 | 2029-09-15 | — |
| Quendaisia Weston | AZ | ��� | — | 2024-09-15 | 2029-09-15 | — |
| Salcedo Behavioral Health & Consultation Services | LA | Company | 1003680901 | 2024-09-15 | active | LA R.S. 46:437.14(A)(10) - 2024-09-15 |
| ROSS MIKAELA MARY | NY | Physical Therapist | 1982012282 | 2024-09-15 | active | — |
| Kami Jo Adolf | IA | Person | — | 2024-09-13 | active | 441 IAC 79.2(2)(f)(k)(m)(s)(v) - 2024-09-13 |
| Quinton L. Twilla | IA | Person | — | 2024-09-13 | active | 441 IAC 79.2(2)(m) - 2024-09-13 |
| Megan Jean Tonnemacher | IA | Person | — | 2024-09-13 | active | 441 IAC 79.2(2)(m) - 2024-09-13 |
| Katie E. McClure | PA | Person | — | 2024-09-11 | active | Precluded - 2024-09-11 |
| Michael Keady | NE | Person | 1841842317 | 2024-09-11 | active | VN-Violation of NMAP Policy - 2024-09-11 |
| Always Love and Homecare & Adventure | CO | LegalEntity | 1376131110 | 2024-09-11 | active | 10 C.C.R. 2505-10, Sections 8.076.1.7.b, 8.076.1.7.c, 8.076.1.7.n - 2024-09-11 |
| Michael Keady | NE | Person | 1154462778 | 2024-09-11 | active | VN-Violation of NMAP Policy - 2024-09-11 |
| ROY GEORGE WARONSKY | NC | LegalEntity | 1841257508 | 2024-09-11 | active | STATE - 2024-09-11 |
| Absolute Medical Supplies Services, LLC | PA | Company | 1588302186 | 2024-09-11 | active | Precluded - 2024-09-11 |
| Absolute Medical Supplies Services, LLC | DE | LegalEntity | 1588302186 | 2024-09-11 | active | 2024-09-11 - 2034-10-09 |
| Adix, Michael | SC | LegalEntity | 1790709111 | 2024-09-10 | active | Terminated for Cause - 2024-09-10 |
| Otchere-Boateng, Yaw | SC | LegalEntity | 1881668937 | 2024-09-10 | active | Terminated for Cause - 2024-09-10 |
| Jeanetta Gordon | MI | Person | — | 2024-09-10 | active | "Summary Suspension Termination - 2024-09-10 - 2022-11-15" |
| Brian J. Flynn | PA | Person | 1518943430 | 2024-09-10 | active | Precluded - 2024-09-10 |
| Willing Hands MI | MI | Company | — | 2024-09-10 | active | "Summary Suspension Termination - 2024-09-10 - 2022-11-15" |
| Randi Lynn Roggentien | IA | Person | — | 2024-09-10 | active | 441 IAC 79.2(20(m) - 2024-09-10 |
| DAVIS JOLENE SHENNEN RUTH | NY | Licensed Practical Nurse | — | 2024-09-09 | active | — |
| Daryl Christopher | AZ | ��� | — | 2024-09-09 | 2029-09-09 | — |
| Ed Lee aka Julie Pham | AZ | ��� | — | 2024-09-09 | 2029-09-09 | — |
| Paradise Lifestyle LLC | AZ | ��� | 1235849779 | 2024-09-09 | 2029-09-09 | — |
| Julie L Pham | AZ | ��� | — | 2024-09-09 | 2029-09-09 | — |
| Family Health Care Services, LLC | AZ | ��� | 1497350664 | 2024-09-09 | 2029-09-09 | — |
| Z Kala Myrtle | AZ | ��� | 1275257917 | 2024-09-09 | 2029-09-09 | — |
| CESAR SAMANTHA | NY | Counselor-Alcoholism and Substance Abuse | — | 2024-09-09 | active | — |
| MINES COURTNEY | NY | Registered Nurse | — | 2024-09-09 | active | — |
| WEINER KEVIN H MD | NY | Physician | 1124040530 | 2024-09-09 | active | — |
| MILLER TRENITY | NY | Direct Support Professional | — | 2024-09-09 | active | — |
| CALLIS ALEXANDER | NY | Peer Advocate | — | 2024-09-09 | active | — |
| FASASI LISA | NY | Direct Support Professional | — | 2024-09-09 | active | — |
| Michael Lee | AZ | ��� | — | 2024-09-09 | 2029-09-09 | — |
| The Healing Center | AZ | ��� | 1346987302 | 2024-09-09 | 2029-09-09 | — |
| Javan Lee | AZ | ��� | — | 2024-09-09 | 2029-09-09 | — |
| Adam Medical Equipment, Inc. | SC | LegalEntity | 1538334222 | 2024-09-09 | active | Terminated for Cause - 2024-09-09 |
| YULDASHEV DAMIR | NY | Owner-Transportation Company | — | 2024-09-09 | active | — |
| Davin Scott | LA | Person | — | 2024-09-09 | active | DSW Finding - 2024-09-09 |
| RECKWERDT SEAN ALEXANDER | NY | Creative Arts Therapist | 1639819584 | 2024-09-09 | active | — |
| WILLMART TRACY AKA/DBA TRACY WILLMART | NY | Registered Nurse | — | 2024-09-09 | active | — |
| Shawn Verges | LA | Person | 1932467974 | 2024-09-09 | active | LA R.S.46:437.14(A)(10) - 2024-09-09 |
| Strubert Devon | NY | Registered Nurse | — | 2024-09-09 | active | — |
| Smith Julie Anne AKA/DBA JULIE ANNE SHARLOW | NY | Registered Nurse | — | 2024-09-09 | active | — |
| Paul A Shelgren | PA | Person | — | 2024-09-06 | active | Precluded - 2024-09-06 |
| Stacey Marie Lanam | IA | Person | — | 2024-09-06 | active | 441 IAC 79.2(2)(m) - 2024-09-06 |
| Miracle Hills Primary Care | IA | Organization | 1104292093 | 2024-09-06 | active | 441 IAC 79.2(2)(f)(k)(m)(n)(q)(s)(v) - 2024-09-06 |
| Just Live Behavioral Home, LLC | AZ | ��� | 1063136406 | 2024-09-06 | 2029-09-06 | — |