Office of the Medicaid Inspector General
Medicaid Exclusions
Medicaid Exclusions Short List


Exclusions Short List


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You searched for: Short List
List Execution Date: 12/20/2025 11:30:31 AM.
Records returned: .
Data was last updated: 12/20/2025 12:01:09 AM.

Provider NameLicense NumberNPI NumberProvider TypeExclusion Effective DateSSN/FEIN
ADVANCED PSYCHOTHERAPY AND BEHAVIOR1316271554Psychotherapy Business12/02/2025Verify
ANGEL MEDICAL TRANSPORTATION INCTransportation Company12/01/2025Verify
BARNES WILLIAMDirect Support Associate12/01/2025Verify
BK PSYCHOTHERAPY LCSW SERVICES PC1285903138Psychotherapy Business12/02/2025Verify
CAIBAL ROLANDOTransportation Driver12/01/2025Verify
CHAUDHRY MOHAMMADOwner- Transportation Company12/01/2025Verify
CHIMILIO GREGORYResidential Mental Health Counselor12/01/2025Verify
EDMUNDS GEOFFREY000377021992915771Dentist11/25/2025Verify
ELAM EDWARDBus Matron12/08/2025Verify
FERNANDEZ JOSEPHINECaretaker12/08/2025Verify
GARRETT PAUL004587651417538950Registered Nurse11/25/2025Verify
HOLMES ASHLEYDirect Support Associate12/08/2025Verify
HUNTER JASMINE00829449Registered Nurse11/25/2025Verify
IRBY ARCHER LEWIS000101621801927520Chiropractor11/25/2025Verify
JENNINGS HELEN00493450Registered Nurse11/25/2025Verify
KUSHNAREVA MARINA003565691295521136Nurse Practitioner 11/25/2025Verify
LIGHTNING MEDICAL TRANSPORT LLCTransportation 12/09/2025Verify
MANN TERRE AKA/DBA TERRE KRAUSS00228764Licensed Practical Nurse12/01/2025Verify
MENHENNETT MATTHEW00327103Licensed Practical Nurse11/25/2025Verify
MILLER SUZANNE AKA/DBA SUZANNE YAEGER00617939Registered Nurse12/08/2025Verify
NESMITH MARLINDA003374451740037944Licensed Practical Nurse12/01/2025Verify
ORTIZ JOSEBusiness Manager12/01/2025Verify
OTTENS KATHLEEN M00376530Registered Nurse12/01/2025Verify
PAGE JOHN000892551831443886Clinical Social Worker12/01/2025Verify
RODRIGUEZ ERICCrisis Resources Program Supervisor12/08/2025Verify
RUFFES AMBER00332002Licensed Practical Nurse11/25/2025Verify
SANTIAGO JULIAN ARMAND000193191356713028Physician Assistant12/04/2025Verify
SCHACK TANYASelf Direct Staff12/01/2025Verify
SHOOK NOAHOffice Manager 12/01/2025Verify
THAYER JESSICA00719521Registered Nurse12/08/2025Verify

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