Screening result
NPI 1376063370Screened 6/6/2026, 5:48:49 PM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.
EXCLUDED
Active federal exclusion in effect.
This NPI carries 0 active OIG exclusions. Do not employ or contract for federal-program work.
Reasons (6)
- • IL medical board revocation (2026-01-14)
- • IL medical board suspension (2025-09-04)
- • Active CO Medicaid exclusion (LegalEntity) effective 2026-02-27
- • Active SC Medicaid exclusion (LegalEntity) effective 2026-01-23
- • Active MI Medicaid exclusion (Person) effective 2025-11-24
- • Active MD Medicaid exclusion (Person) effective unknown date
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Revocation | 2026-01-14 | — |
| IL medical | Temporary Suspension | 2025-09-04 | — |
State Medicaid exclusion match detail
| Name | State | Provider type | Exclusion date | NPI |
|---|---|---|---|---|
| Fredrickson, Abby | CO | LegalEntity | 2026-02-27 | 1376063370 |
| Fredrickson, Abby | SC | LegalEntity | 2026-01-23 | 1376063370 |
| Abby N Fredrickson | MI | Person | 2025-11-24 | 1376063370 |
| Abby Fredrickson | MD | Person | — | 1376063370 |
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Source + audit trail
- NPI screened
- 1376063370
- Screen timestamp
- 6/6/2026, 5:48:49 PM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 440
- Matches found
- 6
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ProviderScore — Sanctions Screening Record
Record generated 6/6/2026, 5:48:49 PM
NPI 1376063370
EXCLUDED Active federal exclusion in effect.
Screened 6/6/2026, 5:48:49 PM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (2) | 40 states live: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| State Medicaid exclusions | FLAGGED (4) | — |
| SAM.gov / GSA exclusions | Clear | — |
| OFAC SDN (Treasury) | Clear | — |
| FDA debarment | Clear | — |
Findings (6)
- IL medical board revocation (2026-01-14)
- IL medical board suspension (2025-09-04)
- Active CO Medicaid exclusion (LegalEntity) effective 2026-02-27
- Active SC Medicaid exclusion (LegalEntity) effective 2026-01-23
- Active MI Medicaid exclusion (Person) effective 2025-11-24
- Active MD Medicaid exclusion (Person) effective unknown date
Source + audit trail
| NPI screened | 1376063370 |
| Screen timestamp | 6/6/2026, 5:48:49 PM |
| OIG LEIE snapshot | 2026-05-08 |
| State boards covered | AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| Risk band | EXCLUDED |
| Risk score | 440 |
| Total matches | 6 |
This record reflects the sources and snapshot dates listed above at the time of generation. Not legal advice. ProviderScore screens exclusion/sanction lists, not primary-source license verification.
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