State Medicaid Exclusions

State-level Medicaid exclusion lists. 82,810 records. Currently loaded: NY (OMIG).

Provider nameStateProvider typeNPIExclusion dateReinstatedReason
Courtney LincolnLAPerson2024-07-18activeDSW Finding - 2024-07-18
Abdul M. WilkinsPAPerson2024-07-18activePrecluded - 2024-07-18 - 2023-10-18
Bernard K NkansahPAPerson2024-07-18activePrecluded - 2024-07-18
David J. TestaPAPerson2024-07-18activePrecluded - 2024-07-18
Safe Keepings CounselingAZ���13367907812024-07-182029-07-18
Lotts 2 LoveAZ���10338277532024-07-182029-07-18
Heal Within Family ServicesAZ���13963183092024-07-182029-07-18
Harbor Health Integrated CareAZ���19024342362024-07-182029-07-18
Petkovsek, Alexander JamesSCLegalEntity10134553022024-07-17activeExcluded - 2024-07-17
James BrandMIPerson2024-07-17active2024-07-17 - 2026-01-07
Evangeline IsaacPAPerson2024-07-17activePrecluded - 2024-07-17
Toya L. ChavisPAPerson2024-07-17activePrecluded - 2024-07-17 - 2024-10-20
Evangeline IsaacDEPerson2024-07-17active2024-07-17 - 2029-07-17
Christopher R. BanksDEPerson2024-07-17active2024-07-17 - 2029-07-17
Christopher R. BanksPAPerson2024-07-17activePrecluded - 2024-07-17 - 2024-10-20
Darin D. OberhartIAPerson2024-07-16active441 IAC 79.2(2)(f)(k)(m)(v) - 2024-07-16
Candice ParkerMIPerson2024-07-16active"Summary Suspension Terminated - 2024-07-16 - 2022-03-16"
Jasmine WestLAPerson2024-07-16activeDSW Finding - 2024-07-16
Priority 1 Medical EquipmentKYCompany10634145712024-07-16activeViolation of KMAP Policy - 2024-07-16
Calain LondonLAPerson2024-07-16activeDSW Finding - 2024-07-16
Mariah FlamerMIPerson2024-07-16active"Summary Suspension Terminated - 2024-07-16 - 2022-06-16"
David A. LapidesIAPerson12557743112024-07-16active441 IAC 79.2(2)(f)(k)(m)(s) - 2024-07-16
Kyle Robert GrimmIAPerson13669586882024-07-16active441 IAC 79.2(2)(f)(k)(m)(v) - 2024-07-16
Tommie ShawIAPerson2024-07-16active441 IAC 79.2(2)(f)(i)(m)(s) - 2024-07-16
Deauncia EadyLAPerson2024-07-16activeDSW Finding - 2024-07-16
Quiet River Massage TherapyIAOrganization2024-07-16active441 IAC 79.2 (f)(k)(m)(v) - 2024-07-16
Caitlyn Caroline CarterIAPerson2024-07-16active441 IAC 79.2(2)(f)(k)(s)(v) - 2024-07-16
Erica FollinsLAPerson2024-07-16activeDSW Finding - 2024-07-16
John KelleyLAPerson2024-07-15activeDSW Finding - 2024-07-15
Shahiedah T. NicholsonPAPerson2024-07-15activePrecluded - 2024-07-15
Reflections Healthcare LLCAZ���17601967112024-07-152029-07-15
Beyond Hope Behavioral HealthAZ���14478290152024-07-152029-07-15
Bridge of Hope Family Services LLCAZ���12358811032024-07-152030-07-15
Bonds of HopeAZ���18418608552024-07-152029-07-15
Shahiedah T. NicholsonDEPerson2024-07-15active2024-07-15 - 2029-07-15
Joseph YantaWVPerson17607938302024-07-15activeCriminal Conviction - 2024-07-15
JJ BUG PHARMACY LLC (DBA: HERSEY PHARMACY)NCLegalEntity15588278082024-07-15activeSTATE - 2024-07-15
Bright Beginning Counseling Center, LLCAZ���18712099652024-07-142029-07-14
CHRIST DID IT ALL IN HOME SERVICESMOLegalEntity11942271812024-07-14activeMMAC DIRECTOR - EVV, BILLING, REVAL - 2024-07-14
Paul KnausMIPerson18211228702024-07-14activeSuspended - 2024-07-14
Laquashia WellsNEPerson2024-07-13activeVN-Violation of NMAP Policy - 2024-07-13
Denise DaughertyNEPerson2024-07-11activeVN-Violation of NMAP Policy - 2024-07-11
Kalsey BaileyNEPerson2024-07-11activeVN-Violation of NMAP Policy - 2024-07-11
Liberty BridgesNEPerson2024-07-11activeVN-Violation of NMAP Policy - 2024-07-11
Kimberly LipscombNEPerson2024-07-11activeVN-Violation of NMAP Policy - 2024-07-11
Jayveona LipscombNEPerson2024-07-11activeVN-Violation of NMAP Policy - 2024-07-11
Angel BrownNEPerson2024-07-11activeVN-Violation of NMAP Policy - 2024-07-11
Lauren BoukalNEPerson2024-07-11activeVN-Violation of NMAP Policy - 2024-07-11
Marcella BrewerNEPerson2024-07-11activeVN-Violation of NMAP Policy - 2024-07-11
Mashia ReedNEPerson2024-07-11activeVN-Violation of NMAP Policy - 2024-07-11
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