-
This list is not to be considered comprehensive of all providers
excluded from participation in the Nebraska Medicaid program;
action by other federal or state entities may also result in
exclusion. The providers identified herein are those that have been
excluded by the Nebraska Department of Health and Human Services,
Division of Medicaid & Long-Term Care. This list may or may not
include providers excluded as a result of action taken by other
federal or state entities. Such actions may be taken by, for
example purposes only, the Nebraska Department of Health and Human
Services, Division of Public Health, Health Licensure &
Investigations Section, HHS-OIG LEIE, GSA/EPLS/SAM, and/or
Medicare. Searching this list should be done in conjunction with
searches of all appropriate databases.
To verify potential matches with providers listed below please
send a request to [email protected]
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
12/5/2017 Abail, Zainab Atypical Provider Type-NPI Not Issued
Personal Assistance Service Immediate
Termination 10/20/2017 Permanent NA Violation of
NMAP Policy
10/31/2016 Absolute Homecare, Inc. Atypical Provider Type-NPI
Not Issued Personal Assistance Service Termination 2/9/2016
Permanent NA Violation of
NMAP Policy
12/29/2017 Adam, Arbab Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/7/2017 Permanent NA
Violation of
NMAP Policy
Adams Allen, Teresa M. Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 8/19/2007 Permanent N/A
Violation of
NMAP Policy
2/6/2018 Adkins, Charles Atypical Provider Type-NPI Not Issued
Community Living Day Support Termination 1/11/2018 Permanent N/A
Violation of
NMAP Policy
Ajuoga, Paul Terminated Prior to NPI Requirement Licensed Mental
Health Practitioner Termination 10/28/2009 Permanent N/A Violation
of
NMAP Policy
2/23/2015 Al Alwani, Monther Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 9/19/2014 Permanent
N/A Violation of
NMAP Policy
Al Boujawari, Mohammad Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 3/26/2010 Permanent N/A
Violation of
NMAP Policy
12/29/2017 Alfatlawi, Adnan A. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 10/7/2017 Permanent
N/A Violation of
NMAP Policy
3/23/2018 Alford, Lekenvish Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 2/2/2018 Permanent
N/A Violation of
NMAP Policy
9/27/2017 Allen, Shenikka A Atypical Provider Type-NPI Not
Issued Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
Allison, Kathleen Marie Atypical Provider Type-NPI Not Issued
Chore Termination 5/23/2011 Permanent N/A Violation of
NMAP Policy
10/30/2015 Alston, Jeannine Atypical Provider Type-NPI Not
Issued Chore Termination 8/14/2015 Permanent N/A Violation of
NMAP Policy
10/11/2017 Alvarado, Idalia Atypical Provider Type-NPI Not
Issued Chore Termination 8/9/2017 Permanent N/A Violation of
NMAP Policy
mailto:[email protected]
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
10/4/2017 Alvarado, Jose Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/4/2017 Permanent N/A
Violation of
NMAP Policy
1/11/2018 Andersen, Amy Atypical Provider Type-NPI Not Issued
Chore Termination 10/14/2017 Permanent N/A Violation of
NMAP Policy
10/11/2017 Anderson, Ashley Atypical Provider Type-NPI Not
Issued Chore Termination 8/19/2017 Permanent N/A Violation of
NMAP Policy
12/26/2017 Andre, Kent 1245425974 Physician Termination
12/14/2017 Permanent N/A Violation of NMAP Policy
11/29/2016 Argo, Julie L. Atypical Provider Type-NPI Not Issued
Chore Exclusion 9/16/2016 Permanent N/A Violation of
NMAP Policy
9/27/2017 Ascencio, Julie Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
11/29/2016 Avant, Rushon Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/13/2016 Permanent N/A
Violation of
NMAP Policy
Aviles, Andrew A. Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 6/6/2013 Permanent N/A Violation
of
NMAP Policy
5/26/2017 Ayal, Ragad Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 3/10/2017 Permanent N/A
Violation of
NMAP Policy
5/27/2016 Baker, Amber Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 1/27/2016 Permanent N/A
Violation of
NMAP Policy
5/27/2016 Baker, Rebecca Christine Atypical Provider Type-NPI
Not Issued Personal Assistance Service Termination 2/29/2016
Permanent N/A Violation of
NMAP Policy
Baldwin, Patrice Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 5/31/2013 Permanent N/A Violation
of
NMAP Policy
10/11/2017 Ball, Shaquea Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 8/19/2017 Permanent N/A
Violation of
NMAP Policy
9/27/2017 Barnum, Carla Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
9/27/2017 Barnum, Catessa Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 9/25/2017 Permanent N/A
Violation of
NMAP Policy
5/26/2017 Barry, Chantelle Atypical Provider Type-NPI Not Issued
Personal Assistance Service Exclusion 5/7/2017 Permanent N/A
Violation of
NMAP Policy
3/26/2018 Barta, Christina Atypical Provider Type-NPI Not Issued
Chore Termination 9/29/2017 Permanent N/A Violation of
NMAP Policy
Bartusek, Jonathan Atypical Provider Type-NPI Not Issued DD
Waiver-Community Living and
Day Supports Termination 5/31/2013 Permanent N/A Violation
of
NMAP Policy
10/4/2017 Bassett, Troy Atypical Provider Type-NPI Not Issued
Chore Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
1/11/2018 Bear, Angela Atypical Provider Type-NPI Not Issued
Chore Termination 10/21/2017 Permanent N/A Violation of
NMAP Policy
Bearfield, Melinda Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 4/24/2012 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Beck, Theodore Atypical Provider Type-NPI Not Issued
Chore Termination 9/16/2017 Permanent N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
Becker, Stephanie PLMHP Terminated Prior to NPI Requirement
Provisionally Licensed Mental Health
Practitioner Termination 1/13/2010 Permanent N/A Violation
of
NMAP Policy
8/24/2016 Bentley, Rebekah S. Atypical Provider Type-NPI Not
Issued Disability CC Termination 7/15/2016 Permanent N/A Violation
of
NMAP Policy
11/30/2016 Benson, Lana Atypical Provider Type-NPI Not Issued
Chore Exclusion 9/19/2016 Permanent N/A Violation of
NMAP Policy
9/27/2017 Bernhardt, Tanya Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
12/5/2017 Better Lives, LLC 1003117508 Retailer Termination
10/29/2017 Permanent N/A Violation of NMAP Policy
10/11/2017 Biswakarma, Rudra Atypical Provider Type-NPI Not
Issued Chore Termination 9/2/2017 Permanent N/A Violation of
NMAP Policy
12/26/2017 Blissful Caring Hearts Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 12/14/2017 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Bolden Grant, Lynette Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 8/19/2017 Permanent
N/A Violation of
NMAP Policy
5/27/2016 Bolles, Tammy Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 1/11/2016 Permanent N/A
Violation of
NMAP Policy
9/28/2017 Bond, Daphne Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 8/10/2017 Permanent N/A Violation of
NMAP Policy
1/2/2018 Borah, Candace Anne Atypical Provider Type-NPI Not
Issued PAS/CHORE Termination 5/14/2017 Permanent N/A Violation
of
NMAP Policy
8/24/2016 Borgaila, Jordan Atypical Provider Type-NPI Not Issued
DD Waiver Exclusion 6/27/2016 Permanent N/A Violation of
NMAP Policy
9/27/2017 Borrego-Baker, Rebecca Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/30/2017 Permanent
N/A Violation of
NMAP Policy
9/27/2017 Botts, Denise Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
10/11/2017 Bowdoin, Lisa Atypical Provider Type-NPI Not Issued
Chore Termination 8/19/2017 Permanent N/A Violation of
NMAP Policy
12/1/2014 Bowman, Jessica R. Atypical Provider Type-NPI Not
Issued Chore Termination 9/30/2014 Permanent N/A Violation of
NMAP Policy
12/8/2017 Boyd, Remila Atypical Provider Type-NPI Not Issued
In-Home Respite Termination 10/31/2017 Permanent N/A Violation
of
NMAP Policy
12/27/2017 Braddy, Tyra Atypical Provider Type-NPI Not Issued
PAS/CHORE Exclusion 8/28/2017 Permanent N/A Violation of
NMAP Policy
10/11/2017 Brass, Edith Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 9/16/2017 Permanent N/A
Violation of
NMAP Policy
1/10/2018 Brazda, Kimberly Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
12/29/2017 Brethouwer, Jeffrey Atypical Provider Type-NPI Not
Issued Personal Assistance Termination 10/7/2017 Permanent N/A
Violation of
NMAP Policy
12/8/2017 Brooks, Lisa Atypical Provider Type-NPI Not Issued
Chore Termination 11/14/2017 Permanent N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
5/26/2017 Brown, Craig 1740290253 Physician Termination
2/22/2017 Permanent N/A Violation of NMAP Policy
10/11/2017 Brown, Domanic Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 9/16/2017 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Brown, Ruby N. Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
12/26/2017 Brunzo, Jamie L. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 12/19/2017 Permanent
N/A Violation of
NMAP Policy
Bryant, Kenya Sade 1043518673 Psychologist Termination 8/30/2013
Permanent N/A Violation of NMAP Policy
9/28/2017 Burcham, Sharon Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 8/28/2017 Permanent N/A
Violation of
NMAP Policy
6/13/2017 Burgess, Julie Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/3/2017 Permanent N/A
Violation of
NMAP Policy
10/4/2017 Burnett, Angela Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/4/2017 Permanent N/A
Violation of
NMAP Policy
9/27/2017 Burr, Candace Atypical Provider Type-NPI Not Issued
Chore Termination 8/14/2017 Permanent N/A Violation of
NMAP Policy
9/27/2017 Byers, Jancee Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Byukusenge, Marie Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 6/4/2017 Permanent
N/A Violation of
NMAP Policy
5/26/2017 Cabral, Angel D. Atypical Provider Type-NPI Not Issued
Chore Termination 3/24/2017 Permanent N/A Violation of
NMAP Policy
5/26/2017 Cabral James Atypical Provider Type-NPI Not Issued
Chore Termination 3/30/2017 Permanent N/A Violation of
NMAP Policy
9/27/2017 Caha, Sidonia Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
9/22/2016 Callejas, Stephanie Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 3/26/2013 Permanent
N/A Violation of
NMAP Policy
Camacho, Victor Alfonso Atypical Provider Type-NPI Not Issued
Chore Termination 6/3/2011 Permanent N/A Violation of
NMAP Policy
6/19/2015 Cambron (Fendrick), Rebecca Atypical Provider Type-NPI
Not Issued Personal Assistance Service Termination 11/21/2014
Permanent N/A Violation of
NMAP Policy
6/13/2017 Campbell, Brittany Atypical Provider Type-NPI Not
Issued CHORE Termination 6/8/2017 Permanent N/A Violation of
NMAP Policy
9/27/2017 Campbell, Dorine Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
10/31/2014 Cannon, Shuronda Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 7/25/2014 Permanent
N/A Violation of
NMAP Policy
9/27/2017 Canseco, Kelly Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
2/24/2014 Cantu, Deserri Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 7/25/2013 Permanent N/A
Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
9/30/2016 Carde-Bernal, Jose 1770993784 Provisionally Licensed
Drug & Alcohol Counselor Termination 8/19/2016 Permanent N/A
Violation of
NMAP Policy
2/21/2017 Carlson, Janelle L. Atypical Provider Type-NPI Not
Issued Community Living Day Support Termination 1/6/2017 Permanent
N/A Violation of
NMAP Policy
9/27/2017 Carrizales, Linda Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/30/2017 Permanent
N/A Violation of
NMAP Policy
2/21/2017 Carter, Joel 1598825796 Physician Termination
12/5/2016 Permanent N/A Violation of NMAP Policy
10/11/2017 Carter, Mariah Atypical Provider Type-NPI Not Issued
Chore Termiantion 5/14/2017 Permanent N/A Violation of
NMAP Policy
1/2/2018 Casey, Beryl Atypical Provider Type-NPI Not Issued
Chore Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
8/18/2015 Casey, Robin R. Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/6/2015 Permanent N/A
Violation of
NMAP Policy
8/24/2016 Castellaw, Christina Atypical Provider Type-NPI Not
Issued Chore Exclusion 6/27/2016 Permanent N/A Violation of
NMAP Policy
10/31/2016 Cavalic, Adisa Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Termination 8/1/2016 Permanent NA Violation of
NMAP Policy
11/29/2016 Chamberlin, Barbara Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 10/13/2016 Permanent
NA Violation of
NMAP Policy
1/11/2018 Chapman. Bobbie Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/21/2017 Permanent NA
Violation of
NMAP Policy
3/30/2016 Chatmon, Laron Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 2/9/2016 Permanent N/A
Violation of
NMAP Policy
10/4/2017 Chavez, Victoria Atypical Provider Type-NPI Not Issued
Chore Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
3/23/2018 Chleborad, Paul 1275793473 Professional Clinic
Termination 2/27/2018 Permanent N/A Violation of NMAP Policy
Choice Medical Transportation Atypical Provider Type-NPI Not
Issued Transportation Termination 12/3/2009 Permanent N/A Violation
of
NMAP Policy
12/30/2016 Church, Kimberly Atypical Provider Type-NPI Not
Issued CHORE Exclusion 11/10/2016 Permanent N/A Violation of
NMAP Policy
10/11/2017 Clarano Herschlag, Mary Atypical Provider Type-NPI
Not Issued Personal Assistance Service Termination 5/14/2017
Permanent N/A Violation of
NMAP Policy
4/2/2015 Clark, Danielle J. Atypical Provider Type-NPI Not
Issued Chore/Transportation Termination 1/6/2015 Permanent N/A
Violation of
NMAP Policy
2/24/2014 Clark, Foch Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 1/16/2013 Permanent N/A
Violation of
NMAP Policy
Clark, Megan M. Atypical Provider Type-NPI Not Issued Chore
Termination 3/29/2011 Permanent N/A Violation of
NMAP Policy
9/27/2017 Clay, Candice Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
9/14/2017 Clayborn, Holly Atypical Provider Type-NPI Not Issued
Chore Exclusion 6/24/2017 Permanent N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
12/16/2016 Clements, Akara Atypical Provider Type-NPI Not Issued
Retailer Termination 2/1/2016 Permanent N/A Violation of
NMAP Policy
12/1/2014 Clemmons, Tielena M. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 8/28/2014 Permanent
N/A Violation of
NMAP Policy
5/26/2017 Cleveland, Deann Accoya Atypical Provider Type-NPI Not
Issued Personal Assistance Service Exclusion 3/7/2017 Permanent N/A
Violation of
NMAP Policy
2/21/2017 Clinton, Diann 1629147160 Licensed Independent Mental
Health Practitioner Termination 11/15/2016 Permanent N/A Violation
of
NMAP Policy
8/15/2014 Cobbs, Tiffany Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/9/2014 Permanent N/A
Violation of
NMAP Policy
11/29/2016 Cohen, Jonathan MD 1497915292 Physician Termination
10/11/2016 Permanent N/A Violation of NMAP Policy
3/30/2016 Cokes, Cheryl R. Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 11/16/2015 Permanent N/A
Violation of
NMAP Policy
5/27/2016 Colliers, Jordan Dayne Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 3/3/2016 Permanent
N/A Violation of
NMAP Policy
9/27/2017 Colwell, Alanna Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
1/11/2018 Compton, Crystal Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/21/2017 Permanent N/A
Violation of
NMAP Policy
9/22/2016 Cook, Lawanda 1720271182 Licensed Mental Health
Practitioner Termination 6/27/2016 Permanent N/A Violation of NMAP
Policy
5/26/2017 Cooley, Kirsten Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 1/6/2017 Permanent N/A Violation of
NMAP Policy
1/10/2018 Cooper, Judith Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
9/27/2017 Correa, Marsha Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
6/14/2017 Corter, Amy Atypical Provider Type-NPI Not Issued
CHORE Termination 4/14/2017 Permanent N/A Violation of
NMAP Policy
9/27/2017 Cowell, Catherine Atypical Provider Type-NPI Not
Issued Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
6/23/2017 Cozart, Sandra Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 4/3/2017 Permanent N/A
Violation of
NMAP Policy
4/2/2015 Crawford, Lynn M. Atypical Provider Type-NPI Not Issued
Chore Termination 12/19/2014 Permanent N/A Violation of
NMAP Policy
Crawley, Annette K. Psychologist Termination 8/30/2013 Permanent
N/A Violation of NMAP Policy
6/23/2017 Crespo-Alvarez, Walkira Atypical Provider Type-NPI Not
Issued Personal Assistance Services Exclusion 3/27/2017 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Crewdson, Teresa Atypical Provider Type-NPI Not
Issued Personal Assistance Services Termination 5/14/2017 Permanent
N/A Violation of
NMAP Policy
12/27/2017 Cross, Phyllisa Atypical Provider Type-NPI Not Issued
Personal Assistance Services Termination 12/19/2017 Permanent N/A
Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
Cudmore, Alexis May Atypical Provider Type-NPI Not Issued DD
Waiver Termination 10/3/2011 Permanent N/A Violation of
NMAP Policy
Curry, Raenae L Atypical Provider Type-NPI Not Issued Chore
Termination 10/28/2011 Permanent N/A Violation of
NMAP Policy
Cusatis, Melissa R. Atypical Provider Type-NPI Not Issued Chore
Termination 3/17/2011 Permanent N/A Violation of
NMAP Policy
9/27/2017 Dale, Kelly Rhoades Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/30/2017 Permanent
N/A Violation of
NMAP Policy
Dalton, Michelle Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 5/31/2013 Permanent N/A Violation
of
NMAP Policy
9/27/2017 Damayanti, Mariana Atypical Provider Type-NPI Not
Issued Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
6/22/2017 Damme, Jeffery Alan 1508957366 Physician Termination
4/13/2017 Permanent N/A Violation of NMAP Policy
2/17/2017 Dancer, Denise Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 4/28/2016 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Daniels, Tami Atypical Provider Type-NPI Not Issued
Chore Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
1/11/2018 Davis, Chad Atypical Provider Type-NPI Not Issued
Chore Termination 9/2/2017 Permanent N/A Violation of
NMAP Policy
8/26/2016 Davis, Jennifer K. Atypical Provider Type-NPI Not
Issued Chore Termination 7/14/2016 Permanent N/A Violation of
NMAP Policy
10/4/2017 Davis, Latawndra Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/4/2017 Permanent N/A
Violation of
NMAP Policy
Dehart, Marilyn Atypical Provider Type-NPI Not Issued Chore
Termination 2/1/2012 Permanent N/A Violation of
NMAP Policy
9/27/2017 Demuth, Mary Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
Deneui, Angela 1104038090 Licensed Independent Mental Health
Practitioner Termination 8/28/2013 Permanent N/A Violation of
NMAP Policy
12/29/2017 Deuerlein, Amanda ypical Provider Type-NPI Not Issuet
Chore Termination 10/7/2017 Permanent N/A Violation of NMAP
Policy
9/27/2017 Devers, Carolyn Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
12/8/2017 DeWispelare, Logan Atypical Provider Type-NPI Not
Issued Chore Termination 10/31/2017 Permanent N/A Violation of
NMAP Policy
9/27/2017 Dischinger, Charles Atypical Provider Type-NPI Not
Issued Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
4/2/2015 Dixon, Sara R. Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/21/2010 Permanent N/A
Violation of
NMAP Policy Dodson Martin, Jane LMHP (Central Counseling)
Terminated Prior to NPI Requirement Licensed Mental Health
Practitioner Termination 4/25/2008 Permanent N/A
Violation of NMAP Policy
10/11/2017 Donaldson, Diane M Atypical Provider Type-NPI Not
Issued Chore Termination 09/16/2017 Permanent N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
1/11/2018 Donat, Bill 1457344954 Retailer Termination
08/09//2017 Permanent N/A Violation of NMAP Policy
Donkor, Francis Atypical Provider Type-NPI Not Issued Chore
Termination 1/12/2011 Permanent N/A Violation of
NMAP Policy
2/21/2017 Dorsch, Michael Allen 1902186539 Physician Assistant
Termination 12/5/2016 Permanent N/A Violation of NMAP Policy
11/6/2017 Doumassy, Shavonne Atypical Provider Type-NPI Not
Issued PAS/CHORE Termination 8/20/2017 Permanent N/A Violation
of
NMAP Policy
9/27/2017 Drinkwalter, Cindy Atypical Provider Type-NPI Not
Issued Personal Assistance Service and
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
3/30/2016 Drummond, Eugene Atypical Provider Type-NPI Not Issued
Chore Termination 2/12/2016 Permanent N/A Violation of
NMAP Policy
1/2/2018 Duhachek, Barbara Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
10/11/2017 Duer, Aubrey B. Atypical Provider Type-NPI Not Issued
Chore Termination 9/16/2017 Permanent N/A Violation of
NMAP Policy
6/22/2016 Dukes, Debra Jane Atypical Provider Type-NPI Not
Issued Chore Termination 5/3/2016 Permanent N/A Violation of
NMAP Policy
Dumarce, Donathan Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 7/29/2013 Permanent N/A Violation
of
NMAP Policy
1/4/2018 Dumas, Alesha Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 12/28/2017 Permanent N/A
Violation of
NMAP Policy
Duncan, Mary Jennifer Atypical Provider Type-NPI Not Issued
Chore Termination 6/11/2011 Permanent N/A Violation of
NMAP Policy
11/29/2016 Dunn, Tierra Atypical Provider Type-NPI Not Issued
Homemaker In Home Termination 10/7/2016 Permanent N/A Violation
of
NMAP Policy
4/15/2014 Duty, Debra Jolene Atypical Provider Type-NPI Not
Issued Chore Termination 11/8/2013 Permanent N/A Violation of
NMAP Policy
Duwe, David Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 4/4/2013 Permanent N/A Violation
of
NMAP Policy
8/8/2016 Edington, Tina M. Atypical Provider Type-NPI Not Issued
Chore Termination 6/13/2016 Permanent N/A Violation of
NMAP Policy
10/11/2017 Ehrhardt, Taylor R. Atypical Provider Type-NPI Not
Issued Chore Termination 8/9/2017 Permanent N/A Violation of
NMAP Policy
12/29/2017 Einspahr, Helen Atypical Provider Type-NPI Not Issued
Chore Termination 10/7/2017 Permanent N/A Violation of
NMAP Policy
Ensrud, Sherri Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 2/8/2013 Permanent N/A Violation
of
NMAP Policy
2/21/2017 Evans, Teresa Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 1/20/2017 Permanent N/A
Violation of
NMAP Policy
1/5/2018 Everly, JoAnn L. Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 EVOL Consulting, LLC 1730419656 Professional Clinic
Termination 9/5/2017 Permanent N/A Violation of NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
9/14/2017 Fast Forward Community Care Services Atypical Provider
Type-NPI Not Issued Chore Termination 6/24/2017 Permanent N/A
Violation of
NMAP Policy
Feik, Debra K. Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 6/6/2007 Permanent N/A Violation
of
NMAP Policy
12/29/2017 Fernandez Gonzalez, Reinier Lazaro Atypical Provider
Type-NPI Not Issued Personal Assistance Service Termination
8/19/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Fierro, Araceli Atypical Provider Type-NPI Not Issued
Chore Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Filanowski, Peter Paul Atypical Provider Type-NPI Not
Issued Chore Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
Firley, Ashley Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 1/27/2010 Permanent N/A Violation
of
NMAP Policy
10/31/2014 Fisher, Amy Nichol Atypical Provider Type-NPI Not
Issued Chore Termination 5/9/2014 Permanent N/A Violation of
NMAP Policy
Flemons, Lawrence R Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 12/11/2012 Permanent N/A
Violation of
NMAP Policy
1/11/2018 Floyd, Barbara Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/21/2017 Permanent N/A
Violation of
NMAP Policy
9/27/2017 Follett, Shannon Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
Fuestman, Paula Atypical Provider Type-NPI Not Issued Chore
Termination 4/8/2009 Permanent N/A Violation of
NMAP Policy
9/30/2016 Fuller, Rosey L. Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 7/28/2016 Permanent N/A
Violation of
NMAP Policy
9/28/2017 Fuller, Samuel 1093730749 Physician Termination
8/9/2017 Permanent N/A Violation of NMAP Policy
5/26/2017 Fullerton, Elena Mercedes Atypical Provider Type-NPI
Not Issued Personal Assistance Service Termination 3/9/2017
Permanent N/A Violation of
NMAP Policy
10/11/2017 Furman, Mariann Atypical Provider Type-NPI Not Issued
Chore Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
Garcia, Anthony Paul Atypical Provider Type-NPI Not Issued Chore
Termination 5/11/2011 Permanent N/A Violation of
NMAP Policy
Garcia, Heidi Marie Atypical Provider Type-NPI Not Issued Chore
Termination 9/19/2012 Permanent N/A Violation of
NMAP Policy
9/28/2017 Garnhart, Dwight Atypical Provider Type-NPI Not Issued
Chore Termination 9/26/2017 Permanent N/A Violation of
NMAP Policy
4/4/2017 Garro, Gregory 1013012350 Dentist Termination 2/15/2017
Permanent N/A Violation of NMAP Policy
2/21/2017 Garrett, Sandra J. Atypical Provider Type-NPI Not
Issued Chore Termination 12/9/2016 Permanent N/A Violation of
NMAP Policy
6/12/2017 Garrett, Sara Lynn Atypical Provider Type-NPI Not
Issued Chore Termination 6/8/2017 Permanent N/A Violation of
NMAP Policy
5/26/2017 Geshick, Stephanie Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 4/7/2017 Permanent
N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
10/31/2014 Ghayyadh, Mansoor Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/5/2014 Permanent
N/A Violation of
NMAP Policy
9/28/2017 Gibbs, Tommy Atypical Provider Type-NPI Not Issued
Community Living Day Support Termination 9/5/2017 Permanent N/A
Violation of
NMAP Policy
5/13/2016 Gobel, Barbara 1285858332 Licensed Independent Mental
Health Practitioner Termination 3/4/2016 Permanent N/A Violation
of
NMAP Policy
2/21/2017 Goldberg, Marvin E. 1275567562 Physician Termination
12/5/2016 Permanent N/A Violation of NMAP Policy
10/11/2017 Gomez, Margarita A Atypical Provider Type-NPI Not
Issued Chore Termination 8/19/2017 Permanent N/A Violation of
NMAP Policy
12/29/2017 Gonzalez, Reinier Lazaro Fernandez Atypical Provider
Type-NPI Not Issued 08/19/02017
10/4/2017 Gonzalez, Zaira Portillo Atypical Provider Type-NPI
Not Issued Chore Termiantion 6/4/2017 Permanent N/A Violation
of
NMAP Policy
10/31/2016 Good 2B Home Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/13/2016 Permanent N/A
Violation of
NMAP Policy
2/23/2015 Goodro, Marvin Kent Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 1/2/2015 Permanent
N/A Violation of
NMAP Policy
5/23/2016 Goodteacher-Halloway, Nicole Atypical Provider
Type-NPI Not Issued Chore Termination 2/12/2016 Permanent N/A
Violation of
NMAP Policy
12/27/2017 Gordon, Rose Atypical Provider Type-NPI Not Issued
PAS/CHORE Exclusion 11/30/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Gorman, Paula Atypical Provider Type-NPI Not Issued
Chore Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
8/8/2016 Gossett, Sandra D. Atypical Provider Type-NPI Not
Issued Personal Assistance Services Termination 6/28/2016 Permanent
N/A Violation of
NMAP Policy
5/13/2016 Goudy, Natalie K. Atypical Provider Type-NPI Not
Issued Personal Assistance Services Exclusion 2/29/2016 Permanent
N/A Violation of
NMAP Policy
7/7/2017 Gould, Lawanda 1720271182 Licensed Mental Health
Practitioner Termination 6/27/2016 Permanent N/A Violation of NMAP
Policy
Grant, Christina Atypical Provider Type-NPI Not Issued Chore
Termination 2/17/2011 Permanent N/A Violation of
NMAP Policy
6/22/2016 Grant, Lori Ann Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Termination 5/4/2016 Permanent N/A Violation of
NMAP Policy
10/4/2017 Grayson, Jewell Atypical Provider Type-NPI Not Issued
Chore Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
9/27/2017 Greenfield, Kimberly Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/30/2017 Permanent
N/A Violation of
NMAP Policy
2/6/2018 Griffin, Jason Atypical Provider Type-NPI Not Issued
Chore Termination 11/4/2017 Permanent N/A Violation of
NMAP Policy
9/14/2017 Grigg, Eddy Joe Atypical Provider Type-NPI Not Issued
Chore Termination 7/15/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Grimaldo Alvarez, Sandra C Atypical Provider Type-NPI
Not Issued Chore Termination 6/4/2017 Permanent N/A Violation
of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
9/27/2017 Grimes, Jeanelle Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
5/27/2016 Guest, Janice Atypical Provider Type-NPI Not Issued
Chore Termination 3/28/2016 Permanent N/A Violation of
NMAP Policy
9/27/2017 Gurrola, Ruth Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
9/27/2017 Guyton, Renita Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
3/30/2016 Hagen, Kenneth 1780668996 Dentist Termination
8/28/2015 Permanent N/A Violation of NMAP Policy
1/11/2018 Hale, Denise D. Atypical Provider Type-NPI Not Issued
Personal Assistanc Services Termination 10/21/2017 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Haling, Nancy A Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Hall, Brandon K Atypical Provider Type-NPI Not Issued
Chore Termination 9/16/2017 Permanent N/A Violation of
NMAP Policy
10/31/2016 Halstead, Samantha Marie 1457754814 Provisionally
Licensed Mental Health Practitioner Termination 9/8/2016 Permanent
N/A Violation of
NMAP Policy
10/4/2017 Hamilton, Sheila Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/4/2017 Permanent N/A
Violation of
NMAP Policy
12/8/2017 Hammer, Brenda 1346408846 Licensed Drug & Alcohol
Counselor Termination 11/19/2017 Permanent N/A Violation of NMAP
Policy
Harbour, Cherie Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 6/24/2008 Permanent N/A Violation
of
NMAP Policy
6/11/2014 Hardine, Rochelle Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 7/31/2013 Permanent
N/A Violation of
NMAP Policy
7/20/2017 Harris, Agnes Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 3/24/2017 Permanent N/A
Violation of
NMAP Policy
9/28/2017 Harrold, Kevin Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
5/26/2017 Harrs, Martell D (Harris) Atypical Provider Type-NPI
Not Issued Respite Termination 4/6/2017 Permanent N/A Violation
of
NMAP Policy
Hart, Peggy 1982079737 Registered Nurse Termination 2/15/2017
Permanent N/A Violation of NMAP Policy
4/2/2015 Hart, Toni L. Atypical Provider Type-NPI Not Issued
Personal Assistance Service/Chore Termination 2/27/2015 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Hauersperger, Timothy Atypical Provider Type-NPI Not
Issued Personal Assistance Services Termiantion 9/16/2017 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Hearn, David L Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 7/21/2017 Permanent N/A
Violation of
NMAP Policy
7/12/2017 Harvey, Cassandra Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 6/30/2017 Permanent
N/A Violation of
NMAP Policy
9/28/2017 Hassan, Rabar Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
10/4/2017 Hasty-Clark, Sherry Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/10/2017 Permanent
N/A Violation of
NMAP Policy
9/28/2017 Hayes, Betty (Nicci) Atypical Provider Type-NPI Not
Issued Personal Assistance Service and
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
6/14/2017 Haynie, Sharon Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination/
Exclusion 5/14/2017 Permanent N/A Violation of
NMAP Policy
2/21/2017 Health Connect at Home St. Elizabeth 1205065281 Home
Health Agency Termination 12/5/2016 Permanent N/A Violation of NMAP
Policy
2/21/2017 Heavenly Hands Home Care Services, INC Atypical
Provider Type-NPI Not Issued Personal Assistance Service
Termination 12/9/2016 Permanent N/A Violation of
NMAP Policy
10/31/2016 Heim, Matthew Atypical Provider Type-NPI Not Issued
Chore Termination 8/26/2016 Permanent N/A Violation of
NMAP Policy
12/8/2017 Heim, Shane Atypical Provider Type-NPI Not Issued
Community Living Day Support Termination 11/19/2017 Permanent N/A
Violation of
NMAP Policy
Helget, Malinda A. Atypical Provider Type-NPI Not Issued Chore
Termination 3/1/2012 Permanent N/A Violation of
NMAP Policy
Henry, Ricky Wayne Atypical Provider Type-NPI Not Issued
Personal Assistance Service/Chore Termination 10/25/2012 Permanent
N/A Violation of
NMAP Policy
9/28/2017 Hensley, April Nichole Atypical Provider Type-NPI Not
Issued Chore Termination 9/22/2017 Permanent N/A Violation of
NMAP Policy
11/29/2016 Hernandez, Jessica Atypical Provider Type-NPI Not
Issued Chore Termination 10/28/2016 Permanent N/A Violation of
NMAP Policy
6/23/2017 Hernandez-Vivanco, Jesus Atypical Provider Type-NPI
Not Issued PAS/CHORE Exclusion 3/27/2017 Permanent N/A Violation
of
NMAP Policy
12/8/2017 Hessler, Charles Joseph Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 11/27/2017 Permanent
N/A Violation of
NMAP Policy
10/4/2017 Highshaw, Debra A Atypical Provider Type-NPI Not
Issued PAS/CHORE Termination 5/10/2017 Permanent N/A Violation
of
NMAP Policy
1/2/2018 Hill, Barbara Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
5/26/2017 Hill, Kenneth 1629020953 Physician Termination
4/9/2017 Permanent N/A Violation of NMAP Policy
Hinderks, Linda Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 4/30/2013 Permanent N/A Violation
of
NMAP Policy
9/28/2017 Hoelzel, Melissa Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Hogan, Lashari Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/17/2017 Permanent N/A
Violation of
NMAP Policy
4/15/2014 Hollins, Victoria Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 2/9/2014 Permanent
N/A Violation of
NMAP Policy
5/13/2016 Holt, James 1093865842 Licensed Independent Mental
Health Practitioner Termination 7/24/2014 Permanent N/A Violation
of
NMAP Policy
7/7/2017 Home Chore Galore & More Atypical Provider Type-NPI
Not Issued Personal Assistance Service Termination 4/14/2017
Permanent N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
12/10/2015 Hookham, Bobby Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/28/2015 Permanent N/A
Violation of
NMAP Policy
Hope Transportation Atypical Provider Type-NPI Not Issued
Transportation Termination 3/17/2011 Permanent N/A Violation of
NMAP Policy
12/26/2017 Hosman, Lynita Atypical Provider Type-NPI Not Issued
Respite Termination 12/13/2017 Permanent N/A Violation of
NMAP Policy
12/30/2016 Huckabee, Timothy Paul Atypical Provider Type-NPI Not
Issued CHORE Termination 11/21/2016 Permanent N/A Violation of
NMAP Policy
3/30/2016 Hulett, Ilonda Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 2/12/2016 Permanent N/A
Violation of
NMAP Policy
6/14/2017 Huges, Porchea Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 4/14/2017 Permanent N/A
Violation of
NMAP Policy
8/24/2016 Huston, David M. Atypical Provider Type-NPI Not Issued
Chore Termination 5/13/2016 Permanent N/A Violation of
NMAP Policy
6/19/2015 Ibal-Gonzalez, Mistie Atypical Provider Type-NPI Not
Issued Chore Termination 10/10/2013 Permanent N/A Violation of
NMAP Policy
9/28/2017 Ihde, Morgan Atypical Provider Type-NPI Not Issued
Respite Termination 8/16/2017 Permanent N/A Violation of
NMAP Policy
2/7/2018 Indigo Intellectual Services, LLC Atypical Provider
Type-NPI Not Issued DD Provider Termination 11/1/2017 Permanent N/A
Violation of
NMAP Policy
5/26/2017 Inness, Sarah Atypical Provider Type-NPI Not Issued
Personal Assistance Service Exclusion 2/6/2017 Permanent N/A
Violation of
NMAP Policy
Jackson, Judy C. Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 6/22/2011 Permanent N/A Violation
of
NMAP Policy
2/6/2018 Jacobson, Jamie Atypical Provider Type-NPI Not Issued
Community Living Day Support Termination 1/17/2018 Permanent N/A
Violation of
NMAP Policy
5/26/2017 James-Tompkins, Timesha Atypical Provider Type-NPI Not
Issued Personal Assistance Service and
Chore Termination 4/3/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Jensen, Clark Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Jensen, Rebecca Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
10/11/2017 Johnson, Desriee Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 9/16/2017 Permanent
N/A Violation of
NMAP Policy
9/28/2017 Johnson, Harriet Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
7/7/2017 Johnson, Polly Atypical Provider Type-NPI Not Issued
Personal Assisance Services Exclusion 3/24/2017 Permanent N/A
Violation of
NMAP Policy
2/23/2015 Johnson, Sharde D. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 10/9/2014 Permanent
N/A Violation of
NMAP Policy
12/29/2017 Johnson, Tammy Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 9/30/2017 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Jonell Byron, Jamia Atypical Provider Type-NPI Not
Issued PAS/CHORE Termination 8/19/2017 Permanent N/A Violation
of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
8/15/2014 Jones, Brenda Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/9/2014 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Jones, Kylie Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 8/19/2017 Permanent N/A Violation of
NMAP Policy
8/15/2014 Jones, Shawna Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 3/19/2014 Permanent N/A
Violation of
NMAP Policy
9/28/2017 Jones, Stanley Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
9/14/2017 Jordan, Candace Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/18/2017 Permanent N/A
Violation of
NMAP Policy
5/26/2017 Jordan, Denise Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Termination 3/8/2017 Permanent N/A Violation of
NMAP Policy
Jorden, Carole A. (Jorden Counseling) Terminated Prior to NPI
Requirement Licensed Mental Health Practitioner Termination
5/22/2011 Permanent N/A Violation of
NMAP Policy
10/31/2016 Joseph, Aguet Atypical Provider Type-NPI Not Issued
Disability CC Termination 9/8/2016 Permanent N/A Violation of
NMAP Policy
Joseph, Jessie Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 6/17/2014 Permanent N/A Violation
of
NMAP Policy
10/4/2017 Journey, Deanna Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/10/2017 Permanent N/A
Violation of
NMAP Policy
9/28/2017 Kao, David 1982620076 Physician Termination 9/5/2017
Permanent N/A Violation of NMAP Policy
1/2/2018 Kator, Debra Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
12/8/2017 Keeler, Amanda Atypical Provider Type-NPI Not Issued
Community Living Day Support Termination 12/7/2017 Permanent N/A
Violation of
NMAP Policy
10/4/2017 Keller, Janelle Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/10/2017 Permanent N/A Violation of
NMAP Policy
4/23/2018 Kelly, Roosevelt Atypical Provider Type-NPI Not Issued
PAS Exclusion 2/25/2018 Permanent N/A Violation of
NMAP Policy
9/28/2017 Kenny, Sean Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
1/11/2018 Kent-Jensen, Darin Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 8/26/2017 Permanent
N/A Violation of
NMAP Policy
8/15/2014 Khalaf, Yassin Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/24/2014 Permanent N/A
Violation of
NMAP Policy
8/18/2015 King, Devon Atypical Provider Type-NPI Not Issued
Chore Termination 7/6/2015 Permanent N/A Violation of
NMAP Policy
6/13/2017 Knievel, Jacqueline K. Atypical Provider Type-NPI Not
Issued Personal Assistance Service and
Chore Termination 5/3/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Kolb, Virginia Atypical Provider Type-NPI Not Issued
Chore Termination 5/10/2017 Permanent N/A Violation of
NMAP Policy
1/5/2018 Koory, Heidi Atypical Provider Type-NPI Not Issued
Chore Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
6/2/2017 Kindschuh, Robert 1508093097 Licensed Mental Health
Practitioner Termination 2/1/2017 Permanent N/A Violation of NMAP
Policy
2/24/2014 Kirkendall, Jacquenetta Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/6/2013 Permanent
N/A Violation of
NMAP Policy
Koehler, Mark Atypical Provider Type-NPI Not Issued Biller
Termination 12/20/2012 Permanent N/A Violation of
NMAP Policy
9/30/2016 Krueger, Karen Kay Atypical Provider Type-NPI Not
Issued Community Living Day Support Termination 8/10/2016 Permanent
N/A Violation of
NMAP Policy
6/11/2014 Kula, Lidia Atypical Provider Type-NPI Not Issued
Personal Assistance Service/Chore Termination 2/18/2014 Permanent
N/A Violation of
NMAP Policy
5/26/2017 Kurmel, Timothy 1467658682 Registered Physical
Therapist Termination 2/15/2017 Permanent N/A Violation of NMAP
Policy
6/8/2017 Kuszak, Maranda Atypical Provider Type-NPI Not Issued
Respite Termination 6/8/2017 Permanent N/A Violation of
NMAP Policy
2/21/2017 Landsman, Ann 1659324747 Physician Assistant
Termination 12/6/2016 Permanent N/A Violation of NMAP Policy
12/30/2016 Larrabee, Jake Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 11/21/2016 Permanent N/A
Violation of
NMAP Policy
9/30/2016 Larsen, Esther Atypical Provider Type-NPI Not Issued
Chore Exclusion 7/21/2016 Permanent N/A Violation of
NMAP Policy
12/8/2017 Lasley, Casha Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/30/2017 Permanent N/A
Violation of
NMAP Policy
6/22/2016 Lathan, Aliesha Atypical Provider Type-NPI Not Issued
Chore Exclusion 5/4/2016 Permanent N/A Violation of
NMAP Policy
6/13/2017 Launer, Jennifer Atypical Provider Type-NPI Not Issued
Chore Termination 6/2/2017 Permanent N/A Violation of
NMAP Policy
12/26/2017 Lawter, Derrick Atypical Provider Type-NPI Not Issued
Community Living Day Support Termination 12/14/2017 Permanent N/A
Violation of
NMAP Policy
Lee, Shirley Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 3/15/2010 Permanent N/A Violation
of
NMAP Policy
12/29/2017 Legon, Bessie Atypical Provider Type-NPI Not Issued
Personal Assitance Service Termination 10/7/2017 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Leonard, Lisa M Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 7/21/2017 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Ler, Ah Atypical Provider Type-NPI Not Issued Chore
Termination 9/2/2017 Permanent N/A Violation of
NMAP Policy
11/29/2016 Lewis, Martina Atypical Provider Type-NPI Not Issued
Chore Termination 10/13/2016 Permanent N/A Violation of
NMAP Policy
3/23/2018 Lindholm, Joy Atypical Provider Type-NPI Not Issued
Chore Termination 1/12/2018 Permanent N/A Violation of
NMAP Policy
10/4/2017 Linhardt, Jodi Beth Atypical Provider Type-NPI Not
Issued PAS/CHORE Termination 5/10/2017 Permanent N/A Violation
of
NMAP Policy
1/11/2018 Little, Christopher Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 10/27/2017 Permanent
N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
10/11/2017 Logan, Lee-Quasia C Atypical Provider Type-NPI Not
Issued Chore Termination 9/16/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Lord, Jeffie Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/10/2017 Permanent N/A Violation of
NMAP Policy
Lozano, Marlena Atypical Provider Type-NPI Not Issued Chore
Termination 10/9/2013 Permanent N/A Violation of
NMAP Policy
11/29/2016 Lwin, Aung Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/11/2016 Permanent N/A
Violation of
NMAP Policy
1/11/2018 Mack, Jonathan Cody L. Atypical Provider Type-NPI Not
Issued Chore Termination 10/7/2017 Permanent N/A Violation of
NMAP Policy
10/11/2017 Mai, Sarah Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
9/30/2016 Main, Velma C. Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 8/9/2016 Permanent N/A
Violation of
NMAP Policy
5/26/2017 Maksim, Shcherbiy Atypical Provider Type-NPI Not
Issued Chore Termination 2/3/2017 Permanent N/A Violation of
NMAP Policy
7/7/2017 Malesker, Justice Atypical Provider Type-NPI Not Issued
Respite Termination 6/19/2017 Permanent N/A Violation of
NMAP Policy
6/12/2017 Malicky, Brian Thomas 1902151004 Registered Physical
Therapist Termination 2/10/2017 Permanent N/A Violation of NMAP
Policy
9/28/2017 Mangar, Linda Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
1/2/2018 Marble, Bobbie J. Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
10/11/2017 Marquez Aponte, Marimy Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 8/19/2017 Permanent
N/A Violation of
NMAP Policy
Marsh, Karen Spangler Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/23/2013 Permanent N/A
Violation of
NMAP Policy
9/28/2017 Martinez, Simon Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
10/31/2016 Mathews, Ashley Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/13/2016 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Matney, Pamela Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
2/21/2017 May, Andre 1942286547 Physician Termination 12/5/2016
Permanent N/A Violation of NMAP Policy
4/4/2017 McDowell, Amber Atypical Provider Type-NPI Not Issued
Personal Assistance Service Exclusion 11/10/2016 Permanent N/A
Violation of
NMAP Policy
McIntosh, Nikole Atypical Provider Type-NPI Not Issued Chore
Termination 6/3/2010 Permanent N/A Violation of
NMAP Policy
10/31/2014 McKinney, Annie Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 8/25/2014 Permanent N/A
Violation of
NMAP Policy
10/11/2017 McKnight, Stacey R Atypical Provider Type-NPI Not
Issued Chore Termination 9/16/2017 Permanent N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
10/4/2017 McPheron, Candace Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 6/4/2017 Permanent
N/A Violation of
NMAP Policy
Melcher, Alesa 1508925512 Chiropractor Termination 12/20/2012
Permanent N/A Violation of NMAP Policy
4/2/2015 Melchert, Laurie Atypical Provider Type-NPI Not Issued
Chore/Transportation Termination 12/6/2013 Permanent N/A Violation
of
NMAP Policy
6/13/2017 Mendez, Margaret Lorena Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 6/2/2017 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Mer, Mu Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Meskimen, Mary Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
1/11/2018 Metcalf, Chantel Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/21/2017 Permanent N/A
Violation of
NMAP Policy
10/4/2017 Metzger, Judy K. Atypical Provider Type-NPI Not Issued
Chore Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
6/13/2017 Miller,. Tino 1841741147 Mental Health Professional
Termination 5/9/2017 Permanent N/A Violation of NMAP Policy
Millien, Chantell Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 5/31/2013 Permanent N/A Violation
of
NMAP Policy
1/11/2018 Mincey, Jolene Atypical Provider Type-NPI Not Issued
Chore Termination 8/26/2017 Permanent N/A Violation of
NMAP Policy
4/2/2015 Mister, April Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 12/31/2014 Permanent N/A
Violation of
NMAP Policy
1/2/2018 Mitchell, Audsheona Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/14/2017 Permanent
N/A Violation of
NMAP Policy
12/29/2017 Mitchell, Joanna Amerita Vonshae Atypical Provider
Type-NPI Not Issued Personal Assistance Service Termination
4/19/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Moellenberndt, Robin S. Atypical Provider Type-NPI Not
Issued Chore Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
6/11/2014 Moody, Taniqua Atypical Provider Type-NPI Not Issued
Personal Assistance Service/Chore Termination 10/27/2013 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Moore, Bryan Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
8/24/2016 Moore, Maria Atypical Provider Type-NPI Not Issued
Personal Assistance Services/Chore Exclusion 7/15/2016 Permanent
N/A Violation of
NMAP Policy
5/26/2017 Moore-Shockley, Heather Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 2/2/2017 Permanent
N/A Violation of
NMAP Policy
Moreno, Christine Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 7/30/2010 Permanent N/A Violation
of
NMAP Policy
8/24/2016 Morgan, Christopher 1700800299 Physician Assistant
Termination 7/7/2016 Permanent N/A Violation of NMAP Policy
5/26/2017 Morin, Douglas 1750543054 Physician Termination
2/15/2017 Permanent N/A Violation of NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
4/15/2014 Morris, Sharon Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 1/16/2014 Permanent N/A
Violation of
NMAP Policy
10/31/2014 Morrison, Carla Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 2/28/2014 Permanent N/A
Violation of
NMAP Policy
10/4/2017 Moura, Maria Atypical Provider Type-NPI Not Issued
Chore Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
1/5/2018 Moura, Joseph Atypical Provider Type-NPI Not Issued
Chore Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Mulinix, Linda Atypical Provider Type-NPI Not Issued
Chore Termination 6/28/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Murnan, Janet Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
5/13/2016 Murphy, Amy Jo 1659472900 Licensed Mental Health
Practitioner Termination 10/13/2015 Permanent N/A Violation of NMAP
Policy
10/31/2016 Murphy, Destiny Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 9/21/2016 Permanent N/A
Violation of
NMAP Policy
Musungay, Olivier Atypical Provider Type-NPI Not Issued Personal
Assistance Service/Chore Termination 10/26/2010 Permanent N/A
Violation of
NMAP Policy
11/28/2017 Neal, Brandy Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/18/2017 Permanent N/A
Violation of
NMAP Policy
6/11/2014 Neeman, Kameron Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 9/26/2013 Permanent N/A
Violation of
NMAP Policy
1/2/2018 Nelson, Candace M. Atypical Provider Type-NPI Not
Issued Chore Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Nelson, Jennifer Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
11/29/2016 Neuroquest LLC 1942508445 Professional Clinic
Termination 10/14/2016 Permanent N/A Violation of NMAP Policy
10/11/2017 Neville, Mark Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
2/21/2017 Ngamelue, Camillus Atypical Provider Type-NPI Not
Issued Community Living Day Support Termination 1/5/2017 Permanent
N/A Violation of
NMAP Policy
9/28/2017 Nguyen, Joanna Thi Atypical Provider Type-NPI Not
Issued Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Nicholas, Erica Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
11/29/2016 Nicholas, Kristin Atypical Provider Type-NPI Not
Issued Chore Termination 10/28/2016 Permanent N/A Violation of
NMAP Policy
Nix, Cynthia Kay Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 11/5/2012 Permanent N/A Violation
of
NMAP Policy
11/29/2016 Nockels, Laura Atypical Provider Type-NPI Not Issued
Chore Termination 10/28/2016 Permanent N/A Violation of
NMAP Policy
7/7/2017 Nolan, Deborah Atypical Provider Type-NPI Not Issued
Chore Exclusion 5/19/2017 Permanent N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
8/8/2016 Nolan, Diane Atypical Provider Type-NPI Not Issued
Chore Termination 6/13/2016 Permanent N/A Violation of
NMAP Policy
Norris, Angela Lorraine Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 11/4/2009 Permanent N/A
Violation of
NMAP Policy
1/11/2018 Nunez, Aida Atypical Provider Type-NPI Not Issued
Chore Termination 10/21/2017 Permanent N/A Violation of
NMAP Policy
3/23/2018 Nunn, Willie Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 2/18/2018 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Nuno, Helen Atypical Provider Type-NPI Not Issued
Chore Termination 7/21/2017 Permanent N/A Violation of
NMAP Policy
4/15/2014 O'Brien, Nichole Atypical Provider Type-NPI Not Issued
DD Waiver-Community Living and
Day Supports Termination 1/13/2014 Permanent N/A Violation
of
NMAP Policy
2/24/2014 O'Connell, Shawn P Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 7/31/2012 Permanent
N/A Violation of
NMAP Policy
O'Connor, Debra Ann Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 1/23/2013 Permanent N/A
Violation of
NMAP Policy
9/28/2017 Odaniel, Ladina Renee Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/30/2017 Permanent
N/A Violation of
NMAP Policy Offordirinwa, Stella PLMHP (Stella Counseling
Svcs)
Terminated Prior to NPI Requirement
Provisionally Licensed Mental Health Practitioner Termination
8/12/2007 Permanent N/A
Violation of NMAP Policy
8/18/2015 Olmos, Edmund Miguel Jr. Atypical Provider Type-NPI
Not Issued Chore Termination 7/17/2015 Permanent N/A Violation
of
NMAP Policy
12/8/2017 Opbroek, Amanda Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 11/13/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Orchard, Coleman Spencer Atypical Provider Type-NPI
Not Issued Chore Termination 5/30/2017 Permanent N/A Violation
of
NMAP Policy
11/29/2016 Ortegren, Jessica Atypical Provider Type-NPI Not
Issued Chore Termination 5/5/2011 Permanent N/A Violation of
NMAP Policy
Ott, Amber Lynn Atypical Provider Type-NPI Not Issued Community
Living Day Support Termination 10/3/2016 Permanent N/A Violation
of
NMAP Policy
Owens, Alice Atypical Provider Type-NPI Not Issued Chore
Termination 3/16/2007 Permanent N/A Violation of
NMAP Policy
5/26/2017 Palermo-Thurolw, Christine Prior to NPI Requirement
Provisionally Licensed Mental Health Practitioner Exclusion
5/7/2017 Permanent N/A Violation of
NMAP Policy
3/23/2018 Palmore, Jeanette Atypical Provider Type-NPI Not
Issued Chore Termination 3/23/2018 Permanent N/A Violation of
NMAP Policy
2/21/2017 Pankonin, Ashley Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/28/2016 Permanent N/A
Violation of
NMAP Policy
2/24/2014 Parker, Brittany Atypical Provider Type-NPI Not Issued
Medicaid Waiver Childcare and
Respite Termination 11/20/2013 Permanent N/A Violation of
NMAP Policy
9/28/2017 Parris, Danielle Atypical Provider Type-NPI Not Issued
Atypical Provider Type-NPI Not
Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of NMAP Policy
10/30/2015 Paul, Ashley DD Waiver-Community Living and Day
Supports Termination 7/30/2015 Permanent N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
10/31/2014 Paup, Amber Atypical Provider Type-NPI Not Issued
Chore Termination 9/26/2012 Permanent N/A Violation of
NMAP Policy
10/11/2017 Payne, Catherine Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 7/21/2017 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Payton, LaParis Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
Pearson, Tracey PLMHP Terminated Prior to NPI Requirement
Provisionally Licensed Mental Health
Practitioner Termination 3/17/2008 Permanent N/A Violation
of
NMAP Policy
8/8/2016 Perry, Jeffry Atypical Provider Type-NPI Not Issued
CHORE Termination 4/9/2016 Permanent N/A Violation of
NMAP Policy
10/31/2016 Perry, Winzetta Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 9/19/2016 Permanent N/A
Violation of
NMAP Policy
4/4/2017 Peters, Peggy Atypical Provider Type-NPI Not Issued
CHORE Termination 2/15/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Peters, Theodore Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/10/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Peterson, Cynthia Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/30/2017 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Pfeifer, Colleen Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 9/16/2017 Permanent
N/A Violation of
NMAP Policy
9/28/2017 Pfeifer, Savanah Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
3/30/2016 Pharmacy Specialty Services 1144374679 Pharmacy
Termination 2/12/2016 Permanent N/A Violation of NMAP Policy
10/4/2017 Phillips, Michele Atypical Provider Type-NPI Not
Issued Chore Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
8/24/2016 Picotte, Andrea Atypical Provider Type-NPI Not Issued
Chore Exclusion 7/15/2016 Permanent N/A Violation of
NMAP Policy
2/21/2017 Pierce, Kyanna (aka Pierce, Kyonna) Atypical Provider
Type-NPI Not Issued Personal Assistance Service Termination
12/20/2016 Permanent N/A Violation of
NMAP Policy
1/2/2018 Pommier, Allen Atypical Provider Type-NPI Not Issued
Chore Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
5/26/2017 Pope-Bauer, Donna Atypical Provider Type-NPI Not
Issued Chore Termination 1/30/2017 Permanent N/A Violation of
NMAP Policy
7/10/2017 Prentice, Teresa S. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Exclusion 05//14/2017 Permanent
N/A Violation of
NMAP Policy
12/27/2017 Price, Michael 1114196813 Chiropractor Exclusion
12/01/20017 Permanent N/A Violation of NMAP Policy
11/13/2014 Price, Stephen K. Atypical Provider Type-NPI Not
Issued Chore Termination 10/1/2014 Permanent N/A Violation of
NMAP Policy
10/4/2017 Privett, Laura Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/4/2017 Permanent N/A
Violation of
NMAP Policy
10/30/2015 Proctor, Julie Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 8/5/2015 Permanent N/A
Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
2/21/2017 Quality Pain Therapies 1285835231 Retailer Termination
12/20/2016 Permanent N/A Violation of NMAP Policy
4/15/2014 Quinn, Richele Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 1/31/2014 Permanent N/A
Violation of
NMAP Policy
7/10/2017 Rai, Prasad Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/2/2017 Permanent N/A Violation of
NMAP Policy
10/11/2017 Ramirez, Anthony Atypical Provider Type-NPI Not
Issued Chore Termination 9/2/2017 Permanent N/A Violation of
NMAP Policy
2/17/2017 Ramirez, Christine Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 4/27/2016 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Ramirez, Maria Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
4/4/2017 Reed, Dawn K. Atypical Provider Type-NPI Not Issued
Chore Termination 2/15/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Reichert, Leanna Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
7/7/2017 Richardson, Charles Jr. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 6/29/2017 Permanent
N/A Violation of
NMAP Policy
6/14/2017 Right Choice Cleaning Service Atypical Provider
Type-NPI Not Issued Chore Termination 4/17/2017 Permanent N/A
Violation of
NMAP Policy
6/14/2017 Right Touch Homecare Service Specialist Atypical
Provider Type-NPI Not Issued Chore Termination 8/26/2016 Permanent
N/A Violation of
NMAP Policy
9/28/2017 Rios, Heather Mae Atypical Provider Type-NPI Not
Issued Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
Rivera, Lourdes Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 11/6/2012 Permanent N/A Violation
of
NMAP Policy
6/14/2017 Rivera, Kathy Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/3/2017 Permanent N/A Violation of
NMAP Policy
10/30/2015 Robinson, Sarah J. Atypical Provider Type-NPI Not
Issued DD Waiver-Community Living and
Day Supports Termination 4/16/2015 Permanent N/A Violation
of
NMAP Policy
Roecker, Tracy Jean Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 2/6/2013 Permanent N/A
Violation of
NMAP Policy
1/11/2018 Roeder, Connie Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/21/2017 Permanent N/A
Violation of
NMAP Policy
12/30/2016 Ross, Charity Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 11/9/2016 Permanent N/A
Violation of
NMAP Policy
6/23/2017 Rotherham, Brooke Atypical Provider Type-NPI Not
Issued Respite Exclusion 4/23/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Rousseau, Albirtina J. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 6/4/2017 Permanent
N/A Violation of
NMAP Policy
Russell, Sarha Atypical Provider Type-NPI Not Issued Chore
Termination 11/10/2008 Permanent N/A Violation of
NMAP Policy
10/11/2017 Sabin-Kohl, Lisa D Atypical Provider Type-NPI Not
Issued PAS/CHORE Termination 5/14/2017 Permanent N/A Violation
of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
12/8/2017 Sailer, Donna Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 10/24/2017 Permanent N/A
Violation of
NMAP Policy
8/24/2016 Salazar, Darrin Atypical Provider Type-NPI Not Issued
DD Waiver-Community Living and
Day Supports Termination 5/16/2016 Permanent N/A Violation
of
NMAP Policy
1/2/2018 Saldivar, Ann Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
Saltzman, Michelle Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 1/14/2010 Permanent N/A
Violation of
NMAP Policy
12/5/2017 Sanchez-Prado, Shelli R Atypical Provider Type-NPI Not
Issued Chore Termination 11/18/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Santee, Linda Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
10/11/2017 Schleicher, Shelby L Atypical Provider Type-NPI Not
Issued Chore Termination 8/19/2017 Permanent N/A Violation of
NMAP Policy
8/24/2016 Schilling, Racie Atypical Provider Type-NPI Not Issued
Chore Termination 7/9/2016 Permanent N/A Violation of
NMAP Policy
Schollmeyer, Charles W. DC Terminated Prior to NPI Requirement
Chiropractor Termination 3/22/2008 Permanent N/A Violation of
NMAP Policy
10/4/2017 Schmidt, Donna Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/10/2017 Permanent N/A
Violation of
NMAP Policy
3/23/2018 Schrage, Jennifer 1942565957 Licensed Mental Health
Practitioner Termination 3/12/2018 Permanent N/A Violation of NMAP
Policy
10/11/2017 Schrouder, Sheree Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/14/2017 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Schukei, Tricia Atypical Provider Type-NPI Not Issued
Chore Termination 5/14/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Schwanke, Amanda Atypical Provider Type-NPI Not Issued
Personal Assitance Service Termination 6/4/2017 Permanent N/A
Violation of
NMAP Policy
Sebesta, Brenda Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 4/8/2011 Permanent N/A Violation
of
NMAP Policy
4/2/2015 Sheridan, Jerika Atypical Provider Type-NPI Not Issued
Personal Assistance Service/Chore Termination 2/18/2015 Permanent
N/A Violation of
NMAP Policy
9/28/2017 Shulyak, Aleksandr Atypical Provider Type-NPI Not
Issued Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
10/30/2015 Shum. McAlpin, Rachel Hope 1811238009 Provisionally
Licensed Mental Health Practitioner Termination 9/17/2015 Permanent
N/A Violation of
NMAP Policy
9/28/2017 Sieber, Carolyn Kay Atypical Provider Type-NPI Not
Issued Chroe Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
Sifuentes, Peggy Atypical Provider Type-NPI Not Issued Chore
Termination 4/9/2013 Permanent N/A Violation of
NMAP Policy
2/21/2017 Silvi, Amy L. Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 1/5/2017 Permanent N/A
Violation of
NMAP Policy
1/18/2018 Simmerman, Connie R. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 10/21/2017 Permanent
N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
Simmons, Joan LMHP Terminated Prior to NPI Requirement Licensed
Mental Health Practitioner Termination 6/30/2008 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Sitawi, Atyaf Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 8/26/2017 Permanent N/A
Violation of
NMAP Policy
5/13/2016 Smith, Alan J. 1659372753 Licensed Psychologist PhD
Termination 6/2/2015 Permanent N/A Violation of NMAP Policy
7/7/2017 Smith, Barbara Atypical Provider Type-NPI Not Issued
CHORE Termination 6/28/2017 Permanent N/A Violation of
NMAP Policy
2/21/2017 Smith, Bennice Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 12/20/2016 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Smith, Hailey M Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 7/21/2017 Permanent N/A
Violation of
NMAP Policy
10/4/2017 Smith, Ka'Deidra Atypical Provider Type-NPI Not Issued
PAS/CHORE Termination 6/4/2017 Permanent N/A Violation of
NMAP Policy
3/23/2018 Smith, Teyonna Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 2/14/2018 Permanent N/A
Violation of
NMAP Policy
9/28/2017 Smith, Wayne M. Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Smith, Wilthella Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
4/15/2014 Snyder, Margaret I. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 8/31/2013 Permanent
N/A Violation of
NMAP Policy
10/11/2017 Soester, Pamela Atypical Provider Type-NPI Not Issued
Chore Termination 9/2/2017 Permanent N/A Violation of
NMAP Policy
10/4/2017 Soma, Stephen Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/10/2017 Permanent N/A
Violation of
NMAP Policy
10/4/2017 Spinar, Stacy Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 6/4/2017 Permanent N/A
Violation of
NMAP Policy
Springer, Angela Atypical Provider Type-NPI Not Issued Chore
Termination 9/19/2013 Permanent N/A Violation of
NMAP Policy
12/8/2017 Springer, Misty Christina Atypical Provider Type-NPI
Not Issued Personal Assistance Service Termination 11/7/2017
Permanent N/A Violation of
NMAP Policy
9/28/2017 Stapleton, Gabriell Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 5/30/2017 Permanent
N/A Violation of
NMAP Policy
12/16/2016 Statewide Medical Equipment, Inc. 1871589721 Retailer
Termination 2/1/2016 Permanent N/A Violation of NMAP Policy
5/26/2017 Straw, Rick Atypical Provider Type-NPI Not Issued
Chore Termination 3/7/2017 Permanent N/A Violation of
NMAP Policy
7/7/2017 Stancil-Dowden, Linda 1487737243 Licensed Independent
Mental Health Practitioner Exclusion 4/23/2017 Permanent N/A
Violation of
NMAP Policy
8/15/2014 Stanfield, Dekaye Atypical Provider Type-NPI Not
Issued DD Waiver-Community Living and
Day Supports Termination 6/20/2014 Permanent N/A Violation
of
NMAP Policy
5/27/2016 Stanton, Verna Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 2/26/2016 Permanent N/A
Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
10/31/2016 Starr, Christi Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Termination 4/10/2014 Permanent N/A Violation of
NMAP Policy
9/28/2017 Stennis, Kenneth Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
9/28/2017 Stephens, Tena Atypical Provider Type-NPI Not Issued
Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
11/17/2017 Stevens, Michael Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 8/11/2017 Permanent
N/A Violation of
NMAP Policy
1/10/2018 Steyer, Katie Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
11/13/2014 Straka, Scott Daniel 1932123916 Physician Termination
9/25/2014 Permanent N/A Violation of NMAP Policy
9/28/2017 Straughn, Misty Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Stoneking, Jennifer J Atypical Provider Type-NPI Not
Issued Chore Termination 9/16/2017 Permanent N/A Violation of
NMAP Policy
2/21/2017 Swantson, Brandi Atypical Provider Type-NPI Not Issued
Disability CC Termination 12/22/2016 Permanent N/A Violation of
NMAP Policy
1/11/2018 Swartzendruber, Debora Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 10/21/2017 Permanent
N/A Violation of
NMAP Policy
3/30/2016 Swenson, Deborah 1902029952 Licensed Independent
Mental Health Practitioner Termination 1/11/2016 Permanent N/A
Violation of
NMAP Policy
12/30/2016 Tafoya, Tameka Atypical Provider Type-NPI Not Issued
Personal Assistance Service Exclusion 11/10/2016 Permanent N/A
Violation of
NMAP Policy
9/28/2017 Tamang, Kewal Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/30/2017 Permanent N/A
Violation of
NMAP Policy
6/23/2017 Taylor, Candra Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termaination 5/2/2017 Permanent N/A
Violation of
NMAP Policy
5/26/2017 Taylor, Chelsea Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 3/20/2017 Permanent N/A
Violation of
NMAP Policy
2/21/2017 Taylor-Jones, Nichelle Atypical Provider Type-NPI Not
Issued PAS/CHORE Exclusion 1/9/2017 Permanent N/A Violation of
NMAP Policy
Thacker, Michelle Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 5/31/2013 Permanent N/A Violation
of
NMAP Policy
9/30/2016 Thalman, Donald R. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 8/22/2016 Permanent
N/A Violation of
NMAP Policy
6/19/2015 Thayer, Norma R Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 4/28/2015 Permanent N/A
Violation of
NMAP Policy
12/8/2017 Thomas, Sarah Atypical Provider Type-NPI Not Issued
Chore Termination 11/15/2017 Permanent N/A Violation of
NMAP Policy
2/21/2017 Thompson, Bridget 1629298096 Licensed Independent
Mental Health Practitioner Termination 11/15/2016 Permanent N/A
Violation of
NMAP Policy
2/21/2017 Thompson, Teaira A. Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 11/29/2016 Permanent
N/A Violation of
NMAP Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term End Date
Reason for Action
8/24/2016 Thomsen, April Atypical Provider Type-NPI Not Issued
Chore Exclusion 6/27/2016 Permanent N/A Violation of
NMAP Policy
3/20/2018 Titsworth, T'Aira Atypical Provider Type-NPI Not
Issued Personal Assistance Service Termination 1/10/2018 Permanent
N/A Violation of
NMAP Policy
Toney, Cardawna Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 10/27/2008 Permanent N/A Violation
of
NMAP Policy
1/5/2018 Torres, Elvin Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
12/30/2016 Torres, Jose Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 11/21/2016 Permanent N/A
Violation of
NMAP Policy
5/26/2017 Toth, Christine Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Exclusion 5/10/2017 Permanent N/A Violation of
NMAP Policy
2/21/2017 Tran, Ann T. Atypical Provider Type-NPI Not Issued
Personal Assistance Service and
Chore Termination 11/23/2016 Permanent N/A Violation of
NMAP Policy
3/30/2016 Tran, Scott NA Pharmacy Exclusion 2/12/2016 Permanent
N/A Violation of NMAP Policy
10/31/2014 Tribulato, Martina Marie 1215946751 Physician
Termination 5/19/2014 Permanent N/A Violation of NMAP Policy
10/11/2017 Trinh, Nga Atypical Provider Type-NPI Not Issued
Chore Termination 9/16/2017 Permanent N/A Violation of
NMAP Policy
9/28/2017 Trook, Nickolas B Atypical Provider Type-NPI Not
Issued Chore Termination 5/30/2017 Permanent N/A Violation of
NMAP Policy
Trudell, Tyler L Atypical Provider Type-NPI Not Issued Personal
Assistance Service Termination 10/31/2011 Permanent N/A Violation
of
NMAP Policy
10/11/2017 Tucker, Ambreee Ann Atypical Provider Type-NPI Not
Issued Chore Termination 8/9/2017 Permanent N/A Violation of
NMAP Policy
2/21/2017 Turner, Rodger Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination/
Exclusion 12/9/2016 Permanent N/A Violation of
NMAP Policy
6/14/2017 Turner, Roneise Atypical Provider Type-NPI Not Issued
Personal Assistance Services Exclusion 9/26/2016 Permanent N/A
Violation of
NMAP Policy
10/11/2017 Turner, Tuila Atypical Provider Type-NPI Not Issued
Personal Assistance Services Termination 5/14/2017 Permanent N/A
Violation of
NMAP Policy
Tyrrell, Crystal Atypical Provider Type-NPI Not Issued
Transportation Termination 10/16/2009 Permanent N/A Violation
of
NMAP Policy
4/4/2017 Uhing, Alice 1679860944 Registered Nurse Termination
2/15/2017 Permanent N/A Violation of NMAP Policy
Ulrich, Lana Atypical Provider Type-NPI Not Issued Chore
Termination 9/15/2009 Permanent N/A Violation of
NMAP Policy
5/13/2016 UMOJA Counseling PC 1639450927 Professional Clinic
Termination 7/24/2014 Permanent N/A Violation of NMAP Policy
Urtel, Marian Ashley Atypical Provider Type-NPI Not Issued
Personal Assistance Service Termination 9/2/2010 Permanent N/A
Violation of
NMAP Policy
5/26/2017 USA Pathology and Toxicology Laboratories 1134526536
Laboratory Termination 5/4/2017 Permanent N/A Violation of NMAP
Policy
-
Updated: 05/03/2018
Date Added to NMEP Provider Name NPI Provider Type
Sanction Type
Effective Date Term
