| Provider Name | License Number | NPI Number | Provider Type | Exclusion Effective Date | SSN/FEIN |
| ADAIKALAMUTHU RAJESHKANNAN | 00045659 | 1578342135 | Physical Therapist | 09/28/2025 | Verify |
| ALVARADO HECTOR | | | Peer Specialist | 10/13/2025 | Verify |
| AUGUSTIN ERWING | | | Direct Support Professional | 10/13/2025 | Verify |
| BAILEY MICHAEL SCOTT | 00334763 | 1184663445 | Nurse Practitioner | 10/13/2025 | Verify |
| CALLISTER LISA | | | Admin Specialist | 09/28/2025 | Verify |
| CHAMBERLAIN JADEN | | | Custodian | 09/28/2025 | Verify |
| CHURNEY KELLY AKA/DBA KELLY MCCANDREW | 00344742 | 1962230904 | Licensed Practical Nurse | 10/13/2025 | Verify |
| DWYER EDWARD | 00692652 | | Registered Professional Nurse | 09/28/2025 | Verify |
| FULTON ASHLEY | 00757264 | | Registered Nurse | 10/13/2025 | Verify |
| GUILDS NICOLE MARIE | 00672397 | 1154906915 | Registered Professional Nurse | 09/28/2025 | Verify |
| HUNT MARIE | | | Direct Support Professional | 09/28/2025 | Verify |
| KOCIK JOHN | | | Family Care Provider | 10/13/2025 | Verify |
| NOVELLI STEPHEN | 00011511 | 1760685473 | Chiropractor | 10/13/2025 | Verify |
| PAGAN-ZAMUDIO VANESSA | | | Direct Support Assistant | 09/28/2025 | Verify |
| PANZARINO PETER JOSEPH | 00225527 | 1093798928 | Physician | 09/28/2025 | Verify |
| PISCHERA NICOLE | | | Psychiatric Associate | 10/13/2025 | Verify |
| SHARNICK AMBROSE ANTHONY MD | 00196052 | 1265431142 | Physician | 09/28/2025 | Verify |
| STRAIL KELLEY A AKA/DBA KELLEY BANERJEE | 00275587 | | License Practical Nurse | 10/13/2025 | Verify |
| TAYLOR RONNEISHA | | | Direct Support Professional | 09/28/2025 | Verify |
| TUCK LATRICE | | | Bus Driver | 10/13/2025 | Verify |
| TURAY ANDREW | | | Psychiatric Social Health Technician | 10/13/2025 | Verify |
| WHEELINGS NATHANIEL | | | Direct Support Professional | 10/13/2025 | Verify |
| YOUNG DEBORAH W LPN | 00251633 | | Registered Nurse | 10/13/2025 | Verify |