Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

11/25/2020 A Home for MeAtypical Provider Type-NPI Not

IssuedDD Termination 3/3/2020 Permanent NA

Violation of NMAP Policy

10/31/2016 Absolute Homecare, Inc.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/9/2016 Permanent NA

Violation of NMAP Policy

10/29/2019 Ace of BladesAtypical Provider Type-NPI Not

IssuedChore Termination 7/21/2019 Permanent NA

Violation of NMAP Policy

12/29/2017 Adam, ArbabAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/7/2017 Permanent NA

Violation of NMAP Policy

Adams Allen, Teresa M.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/19/2007 Permanent N/A

Violation of NMAP Policy

10/3/2018 Aden, ShirleyAtypical Provider Type-NPI not

issuedChore Termination 7/30/2018 Permanent NA

Violation of NMAP Policy

10/3/2018 Aguilar, Jon D Atypical Provider Type-NPI Not

IssuedChore Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

6/19/2019 Akpokli, UrsulaAtypical Provider Type-NPI Not

IssuedChore Termination 6/12/2019 Permanent NA

Violation of NMAP Policy

2/23/2015 Al Alwani, MontherAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/19/2014 Permanent N/A

Violation of NMAP Policy

Al Boujawari, Mohammad Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/26/2010 Permanent N/A

Violation of NMAP Policy

6/6/2018 Al-Mansuri, AmmarAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

2/12/2019 Alama, SuhadAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/3/2019 Permanent N/A

Violation of NMAP Policy

1/2/2019 Alarcon, ArianaAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 9/4/2018 Permanent N/A

Violation of NMAP Policy

5/21/2018 Albertus, CarolAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

12/29/2017 Alfatlawi, Adnan A.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/7/2017 Permanent N/A

Violation of NMAP Policy

3/23/2018 Alford, LekenvishAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/2/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Alhelli, HushamAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

5/4/2018 Alkire, PeggyAtypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

2/23/2018 Allen-Jensen, Kelli J.Atypical Provider Type-NPI Not

IssuedChore Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

9/14/2018Alliance on Supports and Developmental Disabilites LLC

Atypical Provider Type-NPI Not Issued

DD Waiver Termination 8/24/2018 Permanent N/AViolation of NMAP

Policy

Allison, Kathleen MarieAtypical Provider Type-NPI Not

IssuedChore Termination 5/23/2011 Permanent N/A

Violation of NMAP Policy

11/6/2020 Almawaldi, Mohamad 1750390027 Physician Termination 11/6/2020 Permanent N/AViolation of NMAP

Policy

2/26/2020 Alpha Care Services 1659839207 Home Health Agency Termination 2/14/2020 Permanent N/AViolation of NMAP

Policy

10/30/2015 Alston, JeannineAtypical Provider Type-NPI Not

IssuedChore Termination 8/14/2015 Permanent N/A

Violation of NMAP Policy

10/11/2017 Alvarado, IdaliaAtypical Provider Type-NPI Not

IssuedChore Termination 8/9/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Alvarado, JanetteAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Alvarado, JoseAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Ambrose, OdessaAtypical Provider Type-NPI Not

IssuedChore Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

1/11/2018 Andersen, AmyAtypical Provider Type-NPI Not

IssuedChore Termination 10/14/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Anderson, AshleyAtypical Provider Type-NPI Not

IssuedChore Termination 8/19/2017 Permanent N/A

Violation of NMAP Policy

1/10/2019 Anderson, StaceyAtypical Provider Type-NPI Not

IssuedChore Termination 1/6/2018 Permanent N/A

Violation of NMAP Policy

12/26/2017 Andre, Kent 1245425974 Physician Termination 12/14/2017 Permanent N/AViolation of NMAP

Policy

5/15/2018 Andrews, Crystal AAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

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.

In accordance with 471 NAC 2-002.05D Excluded Person or Entity: No clinic, group, corporation, or other association which is a provider of services shall submit claims for payment to the Department for any services or supplies provided by a person within the organization which has been excluded from participation in NMAP except for those services or supplies provided before the termination. If these provisions are violated by a clinic, group, corporation, or other association, the Department may terminate the organization and/or any individual person within the organization responsible for the violation. A provider shall not submit any claims to NMAP that contain the costs of services provided by excluded persons or entities.

In order to be considered for removal from the NMEP list and/or reactivation as a Nebraska Medicaid-enrolled provider, please complete and submit the Nebraska Medicaid NMEP Removal/Reactivation Questionnaire found at the link below.

http://dhhs.ne.gov/Documents/Nebraska%20reactivation%20questionnaire.pdf

To verify potential matches with providers listed below please send a request to DHHS.MedicaidProgramIntegrity@nebraska.gov.

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

9/20/2019 Anit, Leandro 1215141700 Physician Termination 8/11/2017 Permanent N/AViolation of NMAP

Policy

11/29/2016 Argo, Julie L.Atypical Provider Type-NPI Not

IssuedChore Exclusion 9/16/2016 Permanent N/A

Violation of NMAP Policy

10/13/2020 Arnold, AndreaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/5/2015 Permanent N/A

Violation of NMAP Policy

9/27/2017 Ascencio, JulieAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

7/3/2018 Atwood, Mary 1447389200Licensed Independent Mental Health

PractitionerTermination 9/23/2017 Permanent N/A

Violation of NMAP Policy

3/21/2019 Augustin, Joshua 1033623632 Mental Health Professional Termination 3/19/2019 Permanent N/AViolation of NMAP

Policy

2/12/2019 Austin, ElizabethAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/10/2018 Permanent N/A

Violation of NMAP Policy

Aviles, Andrew A. Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/6/2013 Permanent N/A

Violation of NMAP Policy

5/26/2017 Ayal, RagadAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/10/2017 Permanent N/A

Violation of NMAP Policy

5/15/2018 Baker, Alice M.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

5/27/2016 Baker, AmberAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/27/2016 Permanent N/A

Violation of NMAP Policy

5/27/2016 Baker, Rebecca ChristineAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/29/2016 Permanent N/A

Violation of NMAP Policy

Baldwin, PatriceAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/31/2013 Permanent N/A

Violation of NMAP Policy

10/11/2017 Ball, ShaqueaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/19/2017 Permanent N/A

Violation of NMAP Policy

3/6/2018 Barnes, Demetria Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Barnum, CatessaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/25/2017 Permanent N/A

Violation of NMAP Policy

3/26/2018 Barta, ChristinaAtypical Provider Type-NPI Not

IssuedChore Termination 9/29/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Bartak, Thomas Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

Bartusek, JonathanAtypical Provider Type-NPI Not

IssuedDD Waiver-Community Living and

Day SupportsTermination 5/31/2013 Permanent N/A

Violation of NMAP Policy

10/4/2017 Bassett, ToryAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Bates, BrittanyAtypical Provider Type-NPI not

issuedChore Termination 8/13/2018 Permanent NA

Violation of NMAP Policy

Bearfield, MelindaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/24/2012 Permanent N/A

Violation of NMAP Policy

10/11/2017 Beck, TheodoreAtypical Provider Type-NPI Not

IssuedChore Termination 9/16/2017 Permanent N/A

Violation of NMAP Policy

8/12/2019 Becker, MichelleAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 8/1/2019 Permanent N/A

Violation of NMAP Policy

Becker, Stephanie PLMHPTerminated Prior to NPI

RequirementProvisionally Licensed Mental Health

PractitionerTermination 1/13/2010 Permanent N/A

Violation of NMAP Policy

5/30/2018 Beckman, Joee JAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Beel, Misty DAtypical Provider Type-NPI Not

IssuedChore Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

5/4/2018 Benford, RalphAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

7/3/2018 Benjamin, Rose MarieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

11/30/2016 Benson, LanaAtypical Provider Type-NPI Not

IssuedChore Exclusion 9/19/2016 Permanent N/A

Violation of NMAP Policy

8/24/2016 Bentley, Rebekah S.Atypical Provider Type-NPI Not

IssuedDisability CC Termination 7/15/2016 Permanent N/A

Violation of NMAP Policy

5/21/2018 Benzel, AngelaAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

9/27/2017 Bernhardt, TanyaAtypical Provider Type-NPI Not

IssuedPersonal 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/AViolation of NMAP

Policy

3/21/2019 Birchwood Manor 1558368050 Nursing Home Termination 3/21/2019 Permanent N/AViolation of NMAP

Policy

3/29/2019 Bishop, BrittanyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/24/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Biswakarma, RudraAtypical Provider Type-NPI Not

IssuedChore Termination 9/2/2017 Permanent N/A

Violation of NMAP Policy

3/29/2019 Black, GwenAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 9/24/2018 Permanent N/A

Violation of NMAP Policy

6/25/2018 Blanco, MelissaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

1/8/2020 Blankenship, Jennifer 1073022588Licensed Independent Mental Health

PractitionerTermination 12/5/2019 Permanent N/A

Violation of NMAP Policy

12/26/2017 Blissful Caring HeartsAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/14/2017 Permanent N/A

Violation of NMAP Policy

2/26/2020 Bokelman, RondaAtypical Provider Type-NPI Not

IssuedChore Termination 11/25/2019 Permanent N/A

Violation of NMAP Policy

10/11/2017 Bolden Grant, LynetteAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/19/2017 Permanent N/A

Violation of NMAP Policy

5/27/2016 Bolles, TammyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/11/2016 Permanent N/A

Violation of NMAP Policy

9/28/2017 Bond, DaphneAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 8/10/2017 Permanent N/A

Violation of NMAP Policy

5/13/2018 Bonilla Jr, RudyAtypical Provider Type-NPI Not

IssuedChore Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

1/2/2018 Borah, Candace AnneAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

8/24/2016 Borgaila, JordanAtypical Provider Type-NPI Not

IssuedDD Waiver Exclusion 6/27/2016 Permanent N/A

Violation of NMAP Policy

9/27/2017 Borrego-Baker, RebeccaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Botts, DeniseAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Bowdoin, LisaAtypical Provider Type-NPI Not

IssuedChore Termination 8/19/2017 Permanent N/A

Violation of NMAP Policy

2/23/2018 Bowling-Martin, KimberlyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

12/1/2014 Bowman, Jessica R.Atypical Provider Type-NPI Not

IssuedChore Termination 9/30/2014 Permanent N/A

Violation of NMAP Policy

12/8/2017 Boyd, RemilaAtypical Provider Type-NPI Not

IssuedIn-Home Respite Termination 10/31/2017 Permanent N/A

Violation of NMAP Policy

12/27/2017 Braddy, TyraAtypical Provider Type-NPI Not

IssuedPAS/CHORE Exclusion 8/28/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Brass, EdithAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/16/2017 Permanent N/A

Violation of NMAP Policy

1/10/2018 Brazda, KimberlyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Brazile, LatashaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

2/26/2020 Brenda's TLCAtypical Provider Type-NPI not

issuedChore Termination 02/14/20 Permanent NA

Violation of NMAP Policy

12/29/2017 Brethouwer, JeffreyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/7/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Bristol, Mary Atypical Provider Type-NPI not

issuedChore Termination 8/13/2018 Permanent NA

Violation of NMAP Policy

10/29/2019 Brookdale Lexington 1063726289 Nursing Home Termination 7/21/2019 Permanent N/AViolation of NMAP

Policy

12/8/2017 Brooks, LisaAtypical Provider Type-NPI Not

IssuedChore Termination 11/14/2017 Permanent N/A

Violation of NMAP Policy

5/26/2017 Brown, Craig 1740290253 Physician Termination 2/22/2017 Permanent N/AViolation of NMAP

Policy

10/11/2017 Brown, DomanicAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/16/2017 Permanent N/A

Violation of NMAP Policy

4/23/2018 Brown, Shelly LAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Brown, Shkaria DAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

5/21/2018 Bruntz, DianeAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

12/26/2017 Brunzo, Jamie L.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/19/2017 Permanent N/A

Violation of NMAP Policy

Bryant, Kenya Sade 1043518673 Psychologist Termination 8/30/2013 Permanent N/AViolation of NMAP

Policy

4/13/2018 Brye, Sabrina Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Burcham, SharonAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/28/2017 Permanent N/A

Violation of NMAP Policy

6/13/2017 Burgess, JulieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/3/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Burnett, AngelaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Burr, CandaceAtypical Provider Type-NPI Not

IssuedChore Termination 8/14/2017 Permanent N/A

Violation of NMAP Policy

11/5/2018 Burton, Reginald 1134161508 Physician Termination 8/15/2017 Permanent N/AViolation of NMAP

Policy

9/27/2017 Byers, JanceeAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Byukusenge, MarieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

5/26/2017 Cabral, Angel D.Atypical Provider Type-NPI Not

IssuedChore Termination 3/24/2017 Permanent N/A

Violation of NMAP Policy

5/26/2017 Cabral JamesAtypical Provider Type-NPI Not

IssuedChore Termination 3/30/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Caha, SidoniaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Caito, LaureneAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 02/19/2018 Permanent N/A

Violation of NMAP Policy

9/22/2016 Callejas, StephanieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/26/2013 Permanent N/A

Violation of NMAP Policy

5/15/2018 Calloway, Belinda JAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

9/4/2019 Calloway, IsaiahAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/26/2019 Permanent N/A

Violation of NMAP Policy

Camacho, Victor AlfonsoAtypical Provider Type-NPI Not

IssuedChore Termination 6/3/2011 Permanent N/A

Violation of NMAP Policy

6/19/2015 Cambron (Fendrick), RebeccaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/21/2014 Permanent N/A

Violation of NMAP Policy

6/13/2017 Campbell, BrittanyAtypical Provider Type-NPI Not

IssuedChore Termination 6/8/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Campbell, DorineAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

5/4/2018 Campbell White, MarvellAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Campos, RicardoAtypical Provider Type-NPI Not

IssuedChore Termination 8/24/2018 Permanent NA

Violation of NMAP Policy

10/31/2014 Cannon, ShurondaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/25/2014 Permanent N/A

Violation of NMAP Policy

9/27/2017 Canseco, KellyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

2/24/2014 Cantu, DeserriAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/25/2013 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

10/3/2018 Capazo, CatherineAtypical Provider Type-NPI not

issuedChore Termination 8/27/2018 Permanent NA

Violation of NMAP Policy

10/3/2018 Cappellano, EmmaAtypical Provider Type-NPI not

issuedPersonal Assistance Service Termination 7/30/2018 Permanent NA

Violation of NMAP Policy

9/30/2016 Carde-Bernal, Jose 1770993784Provisionally Licensed Drug &

Alcohol CounselorTermination 8/19/2016 Permanent N/A

Violation of NMAP Policy

6/25/2018 Cardenas Gomez, LuciaAtypical Provider Type-NPI Not

IssuedChore Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

5/15/2018 Carl, EmilyAtypical Provider Type-NPI Not

IssuedChore Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

2/21/2017 Carlson, Janelle L.Atypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 1/6/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Carrizales, LindaAtypical Provider Type-NPI Not

IssuedPersonal 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/AViolation of NMAP

Policy

10/11/2017 Carter, MariahAtypical Provider Type-NPI Not

IssuedChore Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Carver, ShannonAtypical Provider Type-NPI Not

IssuedChore Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

1/2/2018 Casey, BerylAtypical Provider Type-NPI Not

IssuedChore Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

8/18/2015 Casey, Robin R.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/6/2015 Permanent N/A

Violation of NMAP Policy

6/15/2018 Casillas, ShaleeAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Castro, SheilaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

8/24/2016 Castellaw, ChristinaAtypical Provider Type-NPI Not

IssuedChore Exclusion 6/27/2016 Permanent N/A

Violation of NMAP Policy

10/31/2016 Cavalic, AdisaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/1/2016 Permanent NA

Violation of NMAP Policy

6/18/2018 Cemper, IvyAtypical Provider Type-NPI Not

IssuedChore Termination 3/1/2018 Permanent NA

Violation of NMAP Policy

10/3/2018 Centrad Healthcare 1346243979 Renter and Retail Supplier Termination 10/20/2018 Permanent NAViolation of NMAP

Policy

11/29/2016 Chamberlin, BarbaraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/13/2016 Permanent NA

Violation of NMAP Policy

1/11/2018 Chapman, BobbieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/21/2017 Permanent NA

Violation of NMAP Policy

3/30/2016 Chatmon, LaronAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/9/2016 Permanent N/A

Violation of NMAP Policy

5/3/2018 Chavez, RosalindaAtypical Provider Type-NPI Not

IssuedChore Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Chavez, VictoriaAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Cheever, MelissaAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

2/22/2019 Cherry, BryceAtypical Provider Type-NPI Not

IssuedRespite Termination 2/21/2019 Permanent N/A

Violation of NMAP Policy

3/23/2018 Chleborad, Paul 1275793473 Professional Clinic Termination 2/27/2018 Permanent N/AViolation of NMAP

Policy

Choice Medical TransportationAtypical Provider Type-NPI Not

IssuedTransportation Termination 12/3/2009 Permanent N/A

Violation of NMAP Policy

12/30/2016 Church, KimberlyAtypical Provider Type-NPI Not

IssuedChore Exclusion 11/10/2016 Permanent N/A

Violation of NMAP Policy

5/21/2018 Clark, CedreeceAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 8/15/2016 Permanent N/A

Violation of NMAP Policy

3/13/2019 Clark, CharleanAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/26/2019 Permanent N/A

Violation of NMAP Policy

4/2/2015 Clark, Danielle J.Atypical Provider Type-NPI Not

IssuedChore/Transportation Termination 1/6/2015 Permanent N/A

Violation of NMAP Policy

5/4/2018 Clark, DavidAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

2/24/2014 Clark, FochAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/16/2013 Permanent N/A

Violation of NMAP Policy

6/25/2018 Clark, LatoyaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

Clark, Megan M.Atypical Provider Type-NPI Not

IssuedChore Termination 3/29/2011 Permanent N/A

Violation of NMAP Policy

9/27/2017 Clay, CandiceAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

9/14/2017 Clayborn, HolliAtypical Provider Type-NPI Not

IssuedChore Exclusion 6/24/2017 Permanent N/A

Violation of NMAP Policy

12/16/2016 Clements, AkaraAtypical Provider Type-NPI Not

IssuedRetailer Exclusion 2/1/2016 Permanent N/A

Violation of NMAP Policy

12/1/2014 Clemmons, Tielena M. Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/28/2014 Permanent N/A

Violation of NMAP Policy

5/26/2017 Cleveland, Deann AccoyaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 3/7/2017 Permanent N/A

Violation of NMAP Policy

5/18/2018 Clinchard, DanielAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 4/13/2018 Permanent N/A

Violation of NMAP Policy

2/21/2017 Clinton, Diann 1629147160Licensed Independent Mental Health

PractitionerTermination 11/15/2016 Permanent N/A

Violation of NMAP Policy

8/15/2014 Cobbs, TiffanyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/9/2014 Permanent N/A

Violation of NMAP Policy

3/30/2016 Cokes, Cheryl R.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/16/2015 Permanent N/A

Violation of NMAP Policy

5/30/2018 Cole, MareenaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

4/13/2018 Coles, VivianAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

2/26/2020 Collazo, Gilberto 1689767550 Physician Termination 2/12/2020 Permanent N/AViolation of NMAP

Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

5/27/2016 Colliers, Jordan DayneAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/3/2016 Permanent N/A

Violation of NMAP Policy

5/10/2019 Collins, MirandaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/9/2019 Permanent N/A

Violation of NMAP Policy

4/13/2018 Colson, ChristinaAtypical Provider Type-NPI Not

IssuedChore Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Colwell, AlannaAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

7/10/2018 Compassionate Souls, LLCAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 6/28/2018 Permanent N/A

Violation of NMAP Policy

1/11/2018 Compton, CrystalAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/21/2017 Permanent N/A

Violation of NMAP Policy

6/19/2019 Cook, La MeshaAtypical Provider Type-NPI Not

IssuedChore Termination 6/12/2019 Permanent N/A

Violation of NMAP Policy

9/22/2016 Cook, Lawanda 1720271182 Licensed Mental Health Practitioner Termination 6/27/2016 Permanent N/AViolation of NMAP

Policy

12/12/2019 Cooper, LoriAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/18/2019 Permanent N/A

Violation of NMAP Policy

1/10/2018 Cooper, JudithAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Correa, MarshaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

6/14/2017 Corter, AmyAtypical Provider Type-NPI Not

IssuedChore Termination 4/14/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Counts, LorraineAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

9/27/2017 Cowell, CatherineAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

4/13/2018 Cowins, LanceAtypical Provider Type-NPI Not

IssuedChore Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

6/23/2017 Cozart, SandraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/3/2017 Permanent N/A

Violation of NMAP Policy

4/2/2015 Crawford, Lynn M.Atypical Provider Type-NPI Not

IssuedChore Termination 12/19/2014 Permanent N/A

Violation of NMAP Policy

10/3/2018 Crawford Jr.,Gerry D. Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

Crawley, Annette K. NA Psychologist Termination 8/30/2013 Permanent N/AViolation of NMAP

Policy

6/23/2017 Crespo-Alvarez, WalkiraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 3/27/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Cress, San JuanitaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Crewdson, TeresaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Croffer, DorothyAtypical Provider Type-NPI not

issuedPersonal Assistance Service Termination 8/27/2018 Permanent NA

Violation of NMAP Policy

12/27/2017 Cross, PhyllisaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/19/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Cruz, Yamilka Del PinoAtypical Provider Type-NPI Not

IssuedChore Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

Cudmore, Alexis MayAtypical Provider Type-NPI Not

IssuedDD Waiver Termination 10/3/2011 Permanent N/A

Violation of NMAP Policy

5/21/2018 Cumbie, ChristopherAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

Curry, Raenae LAtypical Provider Type-NPI Not

IssuedChore Termination 10/28/2011 Permanent N/A

Violation of NMAP Policy

Cusatis, Melissa R.Atypical Provider Type-NPI Not

IssuedChore Termination 3/17/2011 Permanent N/A

Violation of NMAP Policy

6/15/2018 Curtis, June Atypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

11/25/2020 D & S Center for Intelectual and DevelopmentAtypical Provider Type-NPI Not

IssuedDD Termination 3/3/2020 Permanent N/A

Violation of NMAP Policy

10/3/2018 Dailey, Felicia DAtypical Provider Type-NPI Not

IssuedPAS/Chore Termination 8/20/2018 Permanent N/A

Violation of NMAP Policy

9/27/2017 Dale, Kelly RhoadesAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

Dalton, MichelleAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/31/2013 Permanent N/A

Violation of NMAP Policy

9/27/2017 Damayanti, MarianaAtypical Provider Type-NPI Not

IssuedChore 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/AViolation of NMAP

Policy

2/17/2017 Dancer, DeniseAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/28/2016 Permanent N/A

Violation of NMAP Policy

6/15/2018 Davidson, CynthiaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/4/2018 Permanent N/A

Violation of NMAP Policy

5/3/2018 Davis, AlexanderAtypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

1/11/2018 Davis, ChadAtypical Provider Type-NPI Not

IssuedChore Termination 9/2/2017 Permanent N/A

Violation of NMAP Policy

5/3/2018 Davis, DanaAtypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

3/6/2018 Davis, DominiqueAtypical Provider Type-NPI Not

IssuedChore Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

8/26/2016 Davis, Jennifer K.Atypical Provider Type-NPI Not

IssuedChore Termination 7/14/2016 Permanent N/A

Violation of NMAP Policy

10/4/2017 Davis, LatawndraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Dean, DonaldAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

Dehart, MarilynAtypical Provider Type-NPI Not

IssuedChore Termination 2/1/2012 Permanent N/A

Violation of NMAP Policy

5/15/2018 Dejaynes, Darlyn AAtypical Provider Type-NPI Not

IssuedChore Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

6/15/2018 De La Rosa, AaronAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

7/10/2018 Delgado, WilfredoAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/12/2018 Permanent N/A

Violation of NMAP Policy

9/27/2017 Demuth, MaryAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

5/4/2018 DeMuth, TriciaAtypical Provider Type-NPI Not

IssuedChore Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

Deneui Caloca, Angela 1104038090Licensed Independent Mental Health

Practitioner Termination 8/28/2013 Permanent N/A

Violation of NMAP Policy

5/31/2019 Dent, RhondaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/23/2019 Permanent N/A

Violation of NMAP Policy

5/4/2018 Detweiler, MaryAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

12/29/2017 Deuerlein, AmandaAtypical Provider Type-NPI Not

IssuedChore Termination 10/7/2017 Permanent N/A

Violation of NMAP Policy

5/1/2020 Developmental Ambassadors of Services (DASAtypical Provider Type-NPI Not

IssuedDD Termination 4/30/2020 Permanent N/A

Violation of NMAP Policy

9/27/2017 Devers, CarolynAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

12/8/2017 DeWispelare, LoganAtypical Provider Type-NPI Not

IssuedChore Termination 10/31/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Dimmitt, DebraAtypical Provider Type-NPI Not

IssuedChore Termination 3/1/2018 Permanent N/A

Violation of NMAP Policy

9/27/2017 Dischinger, CharlesAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

4/2/2015 Dixon, Sara R.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/21/2010 Permanent N/A

Violation of NMAP Policy

6/15/2018 Dodd, RobinAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 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/AViolation of NMAP

Policy

5/13/2018 Dohmen, Rose AnnAtypical Provider Type-NPI Not

IssuedRespite Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Donaldson, Diane MAtypical Provider Type-NPI Not

IssuedChore Termination 09/16/2017 Permanent N/A

Violation of NMAP Policy

1/11/2018 Donat, Bill 1457344954 Retailer Termination 8/9/2017 Permanent N/AViolation of NMAP

Policy

Donkor, FrancisAtypical Provider Type-NPI Not

IssuedChore 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/AViolation of NMAP

Policy

11/6/2017 Doumassy, ShavonneAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 8/20/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Drinkwalter, CindyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

3/30/2016 Drummond, EugeneAtypical Provider Type-NPI Not

IssuedChore Termination 2/12/2016 Permanent N/A

Violation of NMAP Policy

6/15/2018 Dubray, VictoriaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Dudas, JudithAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

11/3/2020 Dufek, RhonaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 7/20/2020 Permanent N/A

Violation of NMAP Policy

1/2/2018 Duhachek, BarbaraAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Duer, Aubrey Atypical Provider Type-NPI Not

IssuedChore Termination 9/16/2017 Permanent N/A

Violation of NMAP Policy

5/4/2018 Duffy, Sharon L.Atypical Provider Type-NPI Not

IssuedRespite Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

6/22/2016 Dukes, Debra JaneAtypical Provider Type-NPI Not

IssuedChore Termination 5/3/2016 Permanent N/A

Violation of NMAP Policy

Dumarce, DonathanAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/29/2013 Permanent N/A

Violation of NMAP Policy

1/4/2018 Dumas, AleshaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/28/2017 Permanent N/A

Violation of NMAP Policy

Duncan, Mary JenniferAtypical Provider Type-NPI Not

IssuedChore Termination 6/11/2011 Permanent N/A

Violation of NMAP Policy

8/25/2020 Dunlop, Curtis 1720174790 Chiropractor Exclusion 7/8/2020 Permanent N/AViolation of NMAP

Policy

2/12/2019 Dunn, DianeAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/13/2019 Permanent N/A

Violation of NMAP Policy

11/29/2016 Dunn, TierraAtypical Provider Type-NPI Not

IssuedHomemaker In Home Termination 10/7/2016 Permanent N/A

Violation of NMAP Policy

4/13/2018 Dunn, TiffanyAtypical Provider Type-NPI Not

IssuedChore Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

4/15/2014 Duty, Debra JoleneAtypical Provider Type-NPI Not

IssuedChore Termination 11/8/2013 Permanent N/A

Violation of NMAP Policy

Duwe, DavidAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/4/2013 Permanent N/A

Violation of NMAP Policy

6/15/2018 Eblin, JessicaAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

8/4/2020 Eck, KatieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/31/2020 Permanent N/A

Violation of NMAP Policy

8/8/2016 Edington, Tina M.Atypical Provider Type-NPI Not

IssuedChore Termination 6/13/2016 Permanent N/A

Violation of NMAP Policy

10/11/2017 Ehrhardt, Taylor R.Atypical Provider Type-NPI Not

IssuedChore Termination 8/9/2017 Permanent N/A

Violation of NMAP Policy

12/29/2017 Einspahr, Helen Atypical Provider Type-NPI Not

IssuedChore Termination 10/7/2017 Permanent N/A

Violation of NMAP Policy

5/31/2018 Einspahr, KentAtypical Provider Type-NPI Not

IssuedChore Termination 1/21/2018 Permanent N/A

Violation of NMAP Policy

6/25/2018 Elliott, Jennifer DAtypical Provider Type-NPI Not

IssuedChore Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

7/20/2018 Elliott, MichelleAtypical Provider Type-NPI Not

IssuedPAS/CHORE Exclusion 5/24/2018 Permanent N/A

Violation of NMAP Policy

3/29/2019 Ellis, SheilaAtypical Provider Type-NPI Not

IssuedChore Termination 9/24/2018 Permanent N/A

Violation of NMAP Policy

10/3/2018 Engert , Laurie S Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

Ensrud, SherriAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/8/2013 Permanent N/A

Violation of NMAP Policy

10/29/2019 ESO 1518022391 Professional Clinic Termination 7/21/2019 Permanent N/AViolation of NMAP

Policy

10/3/2018 Evans, DanielAtypical Provider Type-NPI Not

IssuedChore Termination 6/30/2018 Permanent N/A

Violation of NMAP Policy

1/5/2018 Everly, JoAnn L.Atypical Provider Type-NPI Not

IssuedPAS/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/AViolation of NMAP

Policy

9/14/2017 Fast Forward Community Care ServicesAtypical Provider Type-NPI Not

IssuedChore Termination 6/24/2017 Permanent N/A

Violation of NMAP Policy

Feik, Debra K. Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/6/2007 Permanent N/A

Violation of NMAP Policy

1/24/2019 Fidelity Home Health Care, LLC 1841546926 Home Health Agency Termination 1/11/2019 Permanent N/AViolation of NMAP

Policy

10/4/2017 Fierro, AraceliAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Filanowski, Peter PaulAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Finnegan, JeffAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

Firley-Clark, Ashley Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/27/2010 Permanent N/A

Violation of NMAP Policy

10/31/2014 Fisher, Amy NicholAtypical Provider Type-NPI Not

IssuedChore Termination 5/9/2014 Permanent N/A

Violation of NMAP Policy

5/30/2018 Fisher, ShannaAtypical Provider Type-NPI Not

IssuedChore Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

6/25/2018 Fleek, JanetAtypical Provider Type-NPI Not

IssuedChore Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

Flemons, Lawrence RAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/11/2012 Permanent N/A

Violation of NMAP Policy

2/26/2020 Flores, BrendaAtypical Provider Type-NPI Not

IssuedChore Exclusion 02/14/20 Permanent NA

Violation of NMAP Policy

1/11/2018 Floyd, BarbaraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/21/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Follett, ShannonAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Ford, TaninaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

3/13/2019 Foremost Laboratories LLC 1821486564 Laboratory Termination 3/4/2019 Permanent N/AViolation of NMAP

Policy

6/15/2018 Fossler, Bruce Atypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

5/21/2018 Foster, EarthaAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

5/13/2019 Foster, JohnnaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/13/2019 Permanent N/A

Violation of NMAP Policy

6/15/2018 Fraedrich, BrandyAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Frank, KatelinAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

12/21/2018 Franklin, DiamoniqueAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/26/2018 Permanent N/A

Violation of NMAP Policy

11/3/2020 Franklin, KevinAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/23/2020 Permanent N/A

Violation of NMAP Policy

4/11/2019 Franklin, MichaelAtypical Provider Type-NPI Not

IssuedChore Termination 3/6/2013 Permanent N/A

Violation of NMAP Policy

9/14/2018 Fraser, Jeffrey 1790792380 Physician Termination 6/5/2018 Permanent N/AViolation of NMAP

Policy

5/3/2018 Frieze, Braydon L.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

Fuestman, Paula Atypical Provider Type-NPI Not

IssuedChore Termination 4/8/2009 Permanent N/A

Violation of NMAP Policy

9/30/2016 Fuller, Rosey L.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/28/2016 Permanent N/A

Violation of NMAP Policy

5/26/2017 Fullerton, Elena MercedesAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/9/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Fulsass, AshleyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Furman, MariannAtypical Provider Type-NPI Not

IssuedChore Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

8/14/2020 Gaffney, MarieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/10/2020 Permanent N/A

Violation of NMAP Policy

6/25/2018 Gainey, MichelleAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

5/31/2019 Gale, NinaAtypical Provider Type-NPI Not

IssuedChore Termination 4/18/2019 Permanent N/A

Violation of NMAP Policy

Garcia, Anthony PaulAtypical Provider Type-NPI Not

IssuedChore Termination 5/11/2011 Permanent N/A

Violation of NMAP Policy

2/26/2020 Garcia, Arlene 1528107075Licensed Independent Mental Health

PractitionerTermination 2/11/2020 Permanent N/A

Violation of NMAP Policy

11/19/2019 Garcia, CarlosAtypical Provider Type-NPI not

issuedAD Waiver Termination 10/8/2019 Permanent NA

Violation of NMAP Policy

Garcia, Heidi MarieAtypical Provider Type-NPI Not

IssuedChore Termination 9/19/2012 Permanent N/A

Violation of NMAP Policy

9/18/2020 Garcia, JesusAtypical Provider Type-NPI Not

IssuedChore Termination 9/18/2020 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

5/30/2018 Garcia-Tafolla, RosaliaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

10/3/2018 Garduno, Leticia GalindoAtypical Provider Type-NPI not

issuedChore Termination 8/27/2018 Permanent NA

Violation of NMAP Policy

6/15/2018 Garlington, RyanAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Garnhart, DwightAtypical Provider Type-NPI Not

IssuedChore Termination 9/26/2017 Permanent N/A

Violation of NMAP Policy

4/4/2017 Garro, Gregory 1013012350 Dentist Termination 2/15/2017 Permanent N/AViolation of NMAP

Policy

2/21/2017 Garrett, Sandra J.Atypical Provider Type-NPI Not

IssuedChore Termination 12/9/2016 Permanent N/A

Violation of NMAP Policy

6/12/2017 Garrett, Sara LynnAtypical Provider Type-NPI Not

IssuedChore Termination 6/8/2017 Permanent N/A

Violation of NMAP Policy

1/2/2019 Garza, JerryAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

9/13/2018 Gelnette-Gutierrez, AmyAtypical Provider Type-NPI Not

IssuedChore Termination 9/6/2018 Permanent N/A

Violation of NMAP Policy

8/31/2020 Genereux, JohnAtypical Provider Type-NPI Not

IssuedLicensed Independent Mental Health

PractitionerExclusion 8/28/2020 Permanent N/A

Violation of NMAP Policy

1/30/2019 George, TiffanyAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 1/27/2019 Permanent N/A

Violation of NMAP Policy

5/26/2017 Geshick, StephanieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/7/2017 Permanent N/A

Violation of NMAP Policy

8/6/2020 Giaimo Podiatry of Nebraska 1811340417 Doctor of Podiatric Medicine Termination 7/8/2020 Permanent N/AViolation of NMAP

Policy

5/4/2018 Gibbs, GoldyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Gibbs, TommyAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 9/5/2017 Permanent N/A

Violation of NMAP Policy

1/24/2019 Gill, NorveleAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/23/2019 Permanent N/A

Violation of NMAP Policy

6/15/2018 Gillott, ConstanceAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

5/13/2016 Gobel, Barbara 1285858332Licensed 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/AViolation of NMAP

Policy

9/14/2018 Gomez, Delgadina CamillaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 6/24/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Gomez, Margarita AAtypical Provider Type-NPI Not

IssuedChore Termination 8/19/2017 Permanent N/A

Violation of NMAP Policy

5/15/2018 Gonzalez, BarbaraAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Gonzalez, Zaira PortilloAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

10/31/2016 Good 2B HomeAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/13/2016 Permanent N/A

Violation of NMAP Policy

2/23/2015 Goodro, Marvin KentAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/2/2015 Permanent N/A

Violation of NMAP Policy

5/23/2016 Goodteacher-Halloway, NicoleAtypical Provider Type-NPI Not

IssuedChore Termination 2/12/2016 Permanent N/A

Violation of NMAP Policy

1/2/2019 Goolsby, CandaceAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

12/27/2017 Gordon, RoseAtypical Provider Type-NPI Not

IssuedPAS/CHORE Exclusion 11/30/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Gorman, PaulaAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

8/8/2016 Gossett, Sandra D.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/28/2016 Permanent N/A

Violation of NMAP Policy

5/13/2016 Goudy, Natalie K.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service 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/AViolation of NMAP

Policy

2/26/2020 Graceful In Home Healthcare 1265972178 Home Health Agency Termination 2/14/2020 Permanent N/AViolation of NMAP

Policy

5/4/2018 Graham, NicoleAtypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

3/24/2020 Graham, MontoyaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/11/2020 Permanent N/A

Violation of NMAP Policy

Grant, ChristinaAtypical Provider Type-NPI Not

IssuedChore Termination 2/17/2011 Permanent N/A

Violation of NMAP Policy

6/22/2016 Grant, Lori AnnAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/4/2016 Permanent N/A

Violation of NMAP Policy

5/15/2018 Gray, AmandaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Grayson, JewellAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

5/31/2018 Green, KeeshaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/21/2018 Permanent N/A

Violation of NMAP Policy

12/31/2018 Greene, SarahAtypical Provider Type-NPI Not

IssuedChore Termination 8/27/2018 Permanent N/A

Violation of NMAP Policy

9/27/2017 Greenfield, KimberlyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

10/29/2019 Gress, Jo LenAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/11/2019 Permanent N/A

Violation of NMAP Policy

2/6/2018 Griffin, JasonAtypical Provider Type-NPI Not

IssuedChore Termination 11/4/2017 Permanent N/A

Violation of NMAP Policy

5/15/2018 Griffith, Carolyn DAtypical Provider Type-NPI Not

IssuedChore Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

9/14/2017 Grigg, Eddy JoeAtypical Provider Type-NPI Not

IssuedChore Termination 7/15/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Grimaldo Alvarez, Sandra CAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

4/13/2018 Grimes, NickitaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

5/27/2016 Guest, JaniceAtypical Provider Type-NPI Not

IssuedChore Termination 3/28/2016 Permanent N/A

Violation of NMAP Policy

4/13/2018 Gurrola, MargaritaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

9/27/2017 Gurrola, RuthAtypical Provider Type-NPI Not

IssuedPersonal 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/AViolation of NMAP

Policy

1/11/2018 Hale, Denise D.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/21/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Haling, Nancy AAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Hall, Brandon KAtypical Provider Type-NPI Not

IssuedChore Termination 9/16/2017 Permanent N/A

Violation of NMAP Policy

1/24/2019 Hall, ChristineAtypical Provider Type-NPI not

issuedPAS/CHORE Termination 1/23/2019 Permanent N/A

Violation of NMAP Policy

4/13/2018 Hall, Mary BAtypical Provider Type-NPI Not

IssuedChore Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

8/6/2020 Hallowell, DebraAtypical Provider Type-NPI Not

IssuedChore Termination 8/6/2020 Permanent N/A

Violation of NMAP Policy

10/31/2016 Halstead, Samantha Marie 1457754814Provisionally Licensed Mental Health

PractitionerTermination 9/8/2016 Permanent N/A

Violation of NMAP Policy

6/15/2018 Ham, KristinaAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Hamilton, SheilaAtypical Provider Type-NPI Not

IssuedPersonal 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/AViolation of NMAP

Policy

6/25/2018 Hamzah, SamaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

1/2/2019 Hankins, KelliAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

Harbour, CherieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/24/2008 Permanent N/A

Violation of NMAP Policy

6/11/2014 Hardine, RochelleAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/31/2013 Permanent N/A

Violation of NMAP Policy

7/27/2020 Harger, JulinaAtypical Provider Type-NPI Not

IssuedChore Termination 7/10/2020 Permanent N/A

Violation of NMAP Policy

6/25/2018 Harm, Diane BAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

7/20/2017 Harris, AgnesAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/24/2017 Permanent N/A

Violation of NMAP Policy

5/3/2018 Harris, DoshaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

7/9/2018 Harris, FrankAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/23/2018 Permanent N/A

Violation of NMAP Policy

5/26/2017 Harrs, Martell D (Harris)Atypical Provider Type-NPI Not

IssuedRespite Termination 4/6/2017 Permanent N/A

Violation of NMAP Policy

4/13/2018 Harsh, RobertAtypical Provider Type-NPI Not

IssuedChore Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Hart, JoyceAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

4/7/2017 Hart, Peggy 1982079737 Registered Nurse Termination 2/15/2017 Permanent N/AViolation of NMAP

Policy

4/2/2015 Hart, Toni L.Atypical Provider Type-NPI Not

IssuedPAS/Chore Termination 2/27/2015 Permanent N/A

Violation of NMAP Policy

7/12/2017 Harvey, CassandraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/30/2017 Permanent N/A

Violation of NMAP Policy

2/23/2018 Hasan, MiladAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Hassan, RabarAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Hasty-Clark, SherryAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

1/2/2019 Hattendorf, SusanAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Hauersperger, TimothyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/16/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Hayes, Betty (Nicci)Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

6/14/2017 Haynie, SharonAtypical Provider Type-NPI Not

IssuedPAS/CHORE

Termination/Exclusion

5/14/2017 Permanent N/AViolation of NMAP

Policy

10/11/2017 Hearn, David LAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/21/2017 Permanent N/A

Violation of NMAP Policy

2/21/2017 Heavenly Hands Home Care Services, INCAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2016 Permanent N/A

Violation of NMAP Policy

5/31/2018 Heil, MelodyAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 1/21/2018 Permanent N/A

Violation of NMAP Policy

10/31/2016 Heim, MatthewAtypical Provider Type-NPI Not

IssuedChore Termination 8/26/2016 Permanent N/A

Violation of NMAP Policy

12/8/2017 Heim, ShaneAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 11/19/2017 Permanent N/A

Violation of NMAP Policy

4/13/2018 Helgeson, Scott OAtypical Provider Type-NPI Not

IssuedChore Termination 10/14/2017 Permanent N/A

Violation of NMAP Policy

Helget, Malinda A. Atypical Provider Type-NPI Not

IssuedChore Termination 3/1/2012 Permanent N/A

Violation of NMAP Policy

Henry, Ricky WayneAtypical Provider Type-NPI Not

IssuedPAS/Chore Termination 10/25/2012 Permanent N/A

Violation of NMAP Policy

5/4/2018 Henselin, Sydney LAtypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Hensley, April NicholeAtypical Provider Type-NPI Not

IssuedChore Termination 9/22/2017 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

10/3/2018 Herbert, LillieAtypical Provider Type-NPI not

issuedPAS/Chore Termination 8/13/2018 Permanent NA

Violation of NMAP Policy

11/29/2016 Hernandez, JessicaAtypical Provider Type-NPI Not

IssuedChore Termination 10/28/2016 Permanent N/A

Violation of NMAP Policy

6/23/2017 Hernandez-Vivanco, JesusAtypical Provider Type-NPI Not

IssuedPAS/CHORE Exclusion 3/27/2017 Permanent N/A

Violation of NMAP Policy

5/13/2018 Herrera, RaquelAtypical Provider Type-NPI Not

IssuedChore Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Hess, YvonneAtypical Provider Type-NPI not

issuedChore Termination 7/30/2018 Permanent NA

Violation of NMAP Policy

12/8/2017 Hessler, Charles JosephAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/27/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Highshaw, Debra AAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

2/23/2018 Hildreth, ChasityAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

1/2/2018 Hill, BarbaraAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

7/3/2018 Hlavnicka, Kenneth CAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

5/21/2018 Hixon, Dustin WAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

1/2/2019 Hoang, Van ThiAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 9/4/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Hoelzel, MelissaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Hogan, LashariAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/17/2017 Permanent N/A

Violation of NMAP Policy

3/24/2020 Holland, MagnoliaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 1/31/2020 Permanent N/A

Violation of NMAP Policy

4/15/2014 Hollins, VictoriaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/9/2014 Permanent N/A

Violation of NMAP Policy

5/13/2016 Holt, James 1093865842Licensed Independent Mental Health

Practitioner Termination 7/24/2014 Permanent N/A

Violation of NMAP Policy

7/7/2017 Home Chore Galore & MoreAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/14/2017 Permanent N/A

Violation of NMAP Policy

5/31/2018 Hood, Michael Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/21/2017 Permanent N/A

Violation of NMAP Policy

12/10/2015 Hookham, BobbyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/28/2015 Permanent N/A

Violation of NMAP Policy

10/3/2018 Hoover, CherylAtypical Provider Type-NPI not

issuedChore Termination 8/27/2018 Permanent NA

Violation of NMAP Policy

Hope TransportationAtypical Provider Type-NPI Not

IssuedTransportation Termination 3/17/2011 Permanent N/A

Violation of NMAP Policy

5/15/2018 Hopkins, CrystalAtypical Provider Type-NPI Not

IssuedChore Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

12/26/2017 Hosman, LynitaAtypical Provider Type-NPI Not

IssuedRespite Termination 12/13/2017 Permanent N/A

Violation of NMAP Policy

4/13/2018 Houston, Michael K.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Howard Cheney, ValerieAtypical Provider Type-NPI Not

IssuedChore Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

10/29/2019 Howe, James 1700292778 Dentist Termination 8/5/2019 Permanent N/AViolation of NMAP

Policy

5/4/2018 Howe, Teresa JAtypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Hrdlicka, HenryAtypical Provider Type-NPI Not

IssuedChore Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

5/4/2018 Htoo, SunnyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

6/21/2018 Hubbard, BenjaminAtypical Provider Type-NPI Not

IssuedChore Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Hubbard, KathleenAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

12/30/2016 Huckabee, Timothy PaulAtypical Provider Type-NPI Not

IssuedChore Termination 11/21/2016 Permanent N/A

Violation of NMAP Policy

7/27/2020 Hughes, Keith P. 1588604987 Physician Termination 7/24/2020 Permanent N/AViolation of NMAP

Policy

6/14/2017 Hughes, PorcheaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/14/2017 Permanent N/A

Violation of NMAP Policy

3/30/2016 Hulett, IlondaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/12/2016 Permanent N/A

Violation of NMAP Policy

6/25/2018 Humphries, DianeAtypical Provider Type-NPI Not

IssuedChore Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

8/24/2016 Huston, David M.Atypical Provider Type-NPI Not

IssuedChore Termination 5/13/2016 Permanent N/A

Violation of NMAP Policy

10/3/2018 Hyde, MelissaAtypical Provider Type-NPI not

issuedChore Termination 7/30/2018 Permanent NA

Violation of NMAP Policy

6/19/2015 Ibal-Gonzalez, MistieAtypical Provider Type-NPI Not

IssuedChore Termination 10/10/2013 Permanent N/A

Violation of NMAP Policy

5/21/2018 Ibarra, Cristal LAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Ihde, MorganAtypical Provider Type-NPI Not

IssuedRespite Termination 8/16/2017 Permanent N/A

Violation of NMAP Policy

2/26/2020 In Home Health Care Inc 1407849409 Home Health Agency Termination 2/14/2020 Permanent N/AViolation of NMAP

Policy

2/7/2018 Indigo Intellectual Services, LLCAtypical Provider Type-NPI Not

IssuedDD Provider Termination 11/1/2017 Permanent N/A

Violation of NMAP Policy

5/26/2017 Inness, SarahAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 2/6/2017 Permanent N/A

Violation of NMAP Policy

3/7/2019 Inspiring Community EmpowermentAtypical Provider Type-NPI Not

IssuedDD Provider Termination 3/1/2019 Permanent N/A

Violation of NMAP Policy

5/15/2018 Jacinto, FranciscaAtypical Provider Type-NPI Not

IssuedChore Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

10/3/2018 Jackson , Arlis E Atypical Provider Type-NPI Not

IssuedChore Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

2/23/2017 Jackson, John W.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

Jackson, Judy C.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/22/2011 Permanent N/A

Violation of NMAP Policy

1/2/2019 Jacobsen, Mary Atypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

2/6/2018 Jacobson, JamieAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 1/17/2018 Permanent N/A

Violation of NMAP Policy

12/18/2019 Jadore Homecare ServicesAtypical Provider Type-NPI Not

IssuedChore Termination 11/23/2019 Permanent N/A

Violation of NMAP Policy

8/15/2019 Jaizan, FeraidonAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/12/2019 Permanent N/A

Violation of NMAP Policy

5/26/2017 James-Tompkins, TimeshaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/3/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Jensen, ClarkAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

3/13/2019 Jobe, StevenAtypical Provider Type-NPI Not

IssuedDD Provider Termination 3/11/2019 Permanent N/A

Violation of NMAP Policy

6/25/2018 Johnson, DemetriusAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Johnson, DesrieeAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/16/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Johnson, Janice Atypical Provider Type-NPI Not

IssuedChore Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

10/3/2018 Johnson , Lavina AAtypical Provider Type-NPI Not

IssuedChore Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

7/7/2017 Johnson, PollyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 3/24/2017 Permanent N/A

Violation of NMAP Policy

2/23/2015 Johnson, Sharde D.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/9/2014 Permanent N/A

Violation of NMAP Policy

6/18/2018 Johnson, SoniaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/18/2018 Permanent N/A

Violation of NMAP Policy

12/29/2017 Johnson, TammyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/30/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Jonell Byron, JamiaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 8/19/2017 Permanent N/A

Violation of NMAP Policy

8/15/2014 Jones, BrendaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/9/2014 Permanent N/A

Violation of NMAP Policy

4/13/2018 Jones Sr., John Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Jones, KylieAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 8/19/2017 Permanent N/A

Violation of NMAP Policy

8/15/2014 Jones, ShawnaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/19/2014 Permanent N/A

Violation of NMAP Policy

9/28/2017 Jones, StanleyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

9/14/2017 Jordan, CandaceAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/18/2017 Permanent N/A

Violation of NMAP Policy

5/26/2017 Jordan, DeniseAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/8/2017 Permanent N/A

Violation of NMAP Policy

1/2/2019 Jordan, TammyAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

Jorden, Carole A. (Jorden Counseling)Terminated Prior to NPI

RequirementLicensed Mental Health Practitioner Termination 5/22/2011 Permanent N/A

Violation of NMAP Policy

10/31/2016 Joseph, AguetAtypical Provider Type-NPI Not

IssuedDisability CC Termination 9/8/2016 Permanent N/A

Violation of NMAP Policy

Joseph, JessieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/17/2014 Permanent N/A

Violation of NMAP Policy

5/21/2018 Joslin, AnnetteAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Journey, DeannaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

7/3/2018 Junker, JerryAtypical Provider Type-NPI Not

IssuedChore Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

1/2/2018 Kator, DebraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

7/10/2018 Kautz, Billie JoeAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/6/2018 Permanent N/A

Violation of NMAP Policy

12/8/2017 Keeler, AmandaAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 12/7/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Kelberlau, BradleyAtypical Provider Type-NPI Not

IssuedChore Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

12/31/2019 Keller, Janie RuthAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 12/18/2019 Permanent N/A

Violation of NMAP Policy

5/31/2019 Kelley, CarolynAtypical Provider Type-NPI not

issuedDD Provider Termination 5/16/2019 Permanent N/A

Violation of NMAP Policy

5/31/2019 Kelley, MichaelAtypical Provider Type-NPI Not

IssuedDD Provider Termination 5/24/2019 Permanent N/A

Violation of NMAP Policy

6/15/2018 Kellum, RejaneecheAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Kenny, SeanAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

1/11/2018 Kent-Jensen, DarinAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/26/2017 Permanent N/A

Violation of NMAP Policy

12/31/2018 Key, Robina L.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/4/2018 Permanent N/A

Violation of NMAP Policy

8/15/2014 Khalaf, YassinAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/24/2014 Permanent N/A

Violation of NMAP Policy

4/30/2020 Khidir, SamarAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 03/27/20 Permanent NA

Violation of NMAP Policy

4/13/2018 Khudhair, AmaniAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

6/2/2017 Kindschuh, Robert 1508093097 Licensed Mental Health Practitioner Termination 2/1/2017 Permanent N/AViolation of NMAP

Policy

5/13/2018 King, Lisa MAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

10/31/2019 King, Thomas 1477513356 Dentist Termination 7/21/2019 Permanent N/AViolation of NMAP

Policy

8/14/2018 Kirby, Randy 1376692202 L:icensed Mental Health Practitioner Termination 8/9/2018 Permanent N/AViolation of NMAP

Policy

2/24/2014 Kirkendall, JacquenettaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/6/2013 Permanent N/A

Violation of NMAP Policy

10/3/2018 Kirstine, Joseph Atypical Provider Type-NPI Not

IssuedPAS/Chore Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

6/18/2018 Klein, KathleenAtypical Provider Type-NPI Not

IssuedChore Termination 3/1/2018 Permanent N/A

Violation of NMAP Policy

12/27/2018 Kleinschmidt, Scott11143458811568600765

Registered Physical Therapist Termination 11/20/2018 Permanent N/AViolation of NMAP

Policy

4/3/2019 Kliewer, KathrynAtypical Provider Type-NPI Not

IssuedRespite Termination 3/25/2019 Permanent N/A

Violation of NMAP Policy

6/13/2017 Knievel, Jacqueline K.Atypical Provider Type-NPI Not

IssuedPAS/Chore Termination 5/3/2017 Permanent N/A

Violation of NMAP Policy

12/31/2018 Knobbe, AmandaAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 8/19/2018 Permanent N/A

Violation of NMAP Policy

5/3/2018 Knodel, JeremyAtypical Provider Type-NPI Not

IssuedChore Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Koch-Hopkins, MyrnaAtypical Provider Type-NPI Not

IssuedChore Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

Koehler, MarkAtypical Provider Type-NPI Not

IssuedBiller Termination 12/20/2012 Permanent N/A

Violation of NMAP Policy

7/2/2019 Kohll's Pharmacy and Homecare

1275525537116441441310537185281609868967138663665216896669501871585133

Pharmacy Termination 4/26/2019 Permanent N/AViolation of NMAP

Policy

11/3/2020 Kohlman, JameyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/18/2020 Permanent N/A

Violation of NMAP Policy

10/4/2017 Kolb, VirginiaAtypical Provider Type-NPI Not

IssuedChore Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

1/5/2018 Koory, HeidiAtypical Provider Type-NPI Not

IssuedChore Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Kotschwar, RachelleAtypical Provider Type-NPI Not

IssuedChore Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Kowalski-Miller, CleetisAtypical Provider Type-NPI Not

IssuedChore Termination 1/21/2018 Permanent N/A

Violation of NMAP Policy

1/31/2020 Kramer, KatharineAtypical Provider Type-NPI Not

IssuedDD Termination 1/29/2020 Permanent N/A

Violation of NMAP Policy

5/4/2018 Krauel, NormanAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Kreycik, SharonAtypical Provider Type-NPI Not

IssuedChore Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

9/30/2016 Krueger, Karen KayAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 8/10/2016 Permanent N/A

Violation of NMAP Policy

6/11/2014 Kula, LidiaAtypical Provider Type-NPI Not

IssuedPAS/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/AViolation of NMAP

Policy

12/21/2018 Kurtzuba, PaigeAtypical Provider Type-NPI Not

IssuedRespite Termination 11/25/2018 Permanent N/A

Violation of NMAP Policy

5/21/2018 Kusek, ArdathAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

4/23/2018 Kyle, Theodora Atypical Provider Type-NPI Not

IssuedChore Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

6/8/2017 Kuszak, MarandaAtypical Provider Type-NPI Not

IssuedRespite Termination 6/8/2017 Permanent N/A

Violation of NMAP Policy

12/31/2018 Lafferty, Amy MAtypical Provider Type-NPI Not

IssuedRespite Termination 8/19/2018 Permanent N/A

Violation of NMAP Policy

1/30/2019 Lamblin, DebraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/25/2019 Permanent N/A

Violation of NMAP Policy

5/3/2018 Lane, Elizabeth D.Atypical Provider Type-NPI Not

IssuedChore Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

2/21/2017 Landsman, Ann 1659324747 Physician Assistant Termination 12/6/2016 Permanent N/AViolation of NMAP

Policy

6/15/2018 Langdon, HannahAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

5/13/2018 Lantos, NathanAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Lara, BreAnnaAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

12/30/2016 Larrabee, JakeAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/21/2016 Permanent N/A

Violation of NMAP Policy

9/30/2016 Larsen, EstherAtypical Provider Type-NPI Not

IssuedChore Exclusion 7/21/2016 Permanent N/A

Violation of NMAP Policy

6/18/2018 Larson, EmilyAtypical Provider Type-NPI Not

IssuedChore Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

6/22/2016 Lathan, AlieshaAtypical Provider Type-NPI Not

IssuedChore Exclusion 5/4/2016 Permanent N/A

Violation of NMAP Policy

6/13/2017 Launer, JenniferAtypical Provider Type-NPI Not

IssuedChore Termination 6/2/2017 Permanent N/A

Violation of NMAP Policy

12/26/2017 Lawter, DerrickAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 12/14/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Le, Ngan KAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

Lee, Shirley Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/15/2010 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

2/12/2019 Leeling, EdwardAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

11/25/2020 Leggett, Shanlonda (aka Wright)Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 6/15/2020 Permanent N/A

Violation of NMAP Policy

12/29/2017 Legon, BessieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/7/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Leonard, Lisa MAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/21/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Leonard, Michelle Dawn Atypical Provider Type-NPI Not

IssuedChore Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

11/29/2016 Lewis, MartinaAtypical Provider Type-NPI Not

IssuedChore Termination 10/13/2016 Permanent N/A

Violation of NMAP Policy

8/14/2018 Lewis, MicheleAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 7/23/2018 Permanent N/A

Violation of NMAP Policy

3/23/2018 Lindholm, JoyAtypical Provider Type-NPI Not

IssuedChore Termination 1/12/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Linhardt, Jodi BethAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Lillard, CrystalAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

1/11/2018 Little, ChristopherAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/27/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Livingston, LakieshaAtypical Provider Type-NPI Not

IssuedChore Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

4/30/2019 Loomis, ReinaAtypical Provider Type-NPI Not

IssuedChore Termination 11/5/2018 Permanent N/A

Violation of NMAP Policy

6/21/2018 Lopez, DeannaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Lopez, RoseAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Lord, JeffieAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Loury, MaryAtypical Provider Type-NPI Not

IssuedChore Termination 8/6/2018 Permanent NA

Violation of NMAP Policy

Lozano, MarlenaAtypical Provider Type-NPI Not

IssuedChore Termination 10/9/2013 Permanent N/A

Violation of NMAP Policy

11/3/2020 Ludwig, ConnieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/13/2020 Permanent N/A

Violation of NMAP Policy

10/13/2020 Lugo Cabello, VictorAtypical Provider Type-NPI Not

IssuedChore Termination 9/28/2020 Permanent N/A

Violation of NMAP Policy

3/21/2019 Luttrell, JaceyAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 3/12/2019 Permanent N/A

Violation of NMAP Policy

11/29/2016 Lwin, AungAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/11/2016 Permanent N/A

Violation of NMAP Policy

6/25/2018 Lyford, Dena Atypical Provider Type-NPI Not

IssuedChore Termination 10/12/2016 Permanent N/A

Violation of NMAP Policy

1/11/2018 Mack, Jonathan Cody L.Atypical Provider Type-NPI Not

IssuedChore Termination 10/7/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Mai, SarahAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

9/30/2016 Main, Velma C.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/9/2016 Permanent N/A

Violation of NMAP Policy

3/4/2020 Majestic PascareAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/28/2020 Permanent N/A

Violation of NMAP Policy

1/2/2018 Marble, Bobbie J.Atypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

1/31/2020 Maresh, RachelleAtypical Provider Type-NPI Not

IssuedChore Termination 1/8/2020 Permanent N/A

Violation of NMAP Policy

10/11/2017 Marquez Aponte, MarimyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/19/2017 Permanent N/A

Violation of NMAP Policy

Marsh, Karen SpanglerAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/23/2013 Permanent N/A

Violation of NMAP Policy

6/18/2018 Martin, CatherineAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Martin, MaryAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

12/21/2018 Martinez, BrittanyAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 11/16/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Martinez, SimonAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

2/12/2019 Martinez Carrasco, MagaliAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

7/3/2018 Masoner, BrendaAtypical Provider Type-NPI Not

IssuedChore Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

2/12/2019 Mata, MaryAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

10/31/2016 Mathews, AshleyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/13/2016 Permanent N/A

Violation of NMAP Policy

6/25/2018 Matkins, LindaAtypical Provider Type-NPI Not

IssuedChore Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Matney, PamelaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

2/12/2019 Maurer Jr., HermanAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

2/21/2017 May, Andre 1942286547 Physician Termination 12/5/2016 Permanent N/AViolation of NMAP

Policy

5/30/2018 Mayer, Aaron JAtypical Provider Type-NPI Not

IssuedChore Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

5/4/2018 McAlevy, Marvin Atypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

2/26/2020 McAnally, LisaAtypical Provider Type-NPI Not

IssuedChore Termination 2/13/2020 Permanent N/A

Violation of NMAP Policy

5/30/2018 McBride, DonnaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

7/26/2019 McCreary, AmberAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/25/2019 Permanent N/A

Violation of NMAP Policy

6/15/2018 McCurdy, KeenanAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

4/13/2018 McDonald, AngelaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 12/9/2018 Permanent N/A

Violation of NMAP Policy

4/4/2017 McDowell, AmberAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 11/10/2016 Permanent N/A

Violation of NMAP Policy

6/15/2018 McGraw, KimberlyAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

McIntosh, NikoleAtypical Provider Type-NPI Not

IssuedChore Termination 6/3/2010 Permanent N/A

Violation of NMAP Policy

1/2/2019 Mckenzie, PaigeAtypical Provider Type-NPI Not

IssuedDisability CC Termination 7/30/2018 Permanent N/A

Violation of NMAP Policy

10/31/2014 McKinney, AnnieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/25/2014 Permanent N/A

Violation of NMAP Policy

10/11/2017 McKnight, Stacey RAtypical Provider Type-NPI Not

IssuedChore Termination 9/16/2017 Permanent N/A

Violation of NMAP Policy

8/6/2020 McLellan, TeresaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 7/30/2020 Permanent N/A

Violation of NMAP Policy

5/13/2018 McLlravy, KayleeAtypical Provider Type-NPI Not

IssuedChore Termination 12/9/2018 Permanent N/A

Violation of NMAP Policy

10/31/2019 Mcmeen, Jerry 1790774347 Optometrists Termination 7/21/2019 Permanent N/AViolation of NMAP

Policy

5/3/2018 McNeel, DeniseAtypical Provider Type-NPI Not

IssuedChore Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Meaker, Irene Atypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

2/12/2019 Meier, HeatherAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Meister, CarlAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

Melcher, Alesa 1508925512 Chiropractor Termination 12/20/2012 Permanent N/AViolation of NMAP

Policy

6/13/2017 Mendez, Margaret LorenaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/2/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Mer, MuAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Mertink, MonicaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/25/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Meskimen, MaryAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

2/12/2019 Messing, RoyginaAtypical Provider Type-NPI Not

IssuedChore Termination 9/17/2018 Permanent N/A

Violation of NMAP Policy

5/16/2019 Meyer, AmyAtypical Provider Type-NPI Not

IssuedRespite Termination 5/1/2019 Permanent N/A

Violation of NMAP Policy

9/14/2018 Mickles, Justin M 1649266388 Licensed Mental Health Practitioner Exclusion 4/29/2018 Permanent N/AViolation of NMAP

Policy

6/13/2017 Miller, Tino 1841741147 Mental Health Professional Termination 5/9/2017 Permanent N/AViolation of NMAP

Policy

12/4/2020 Miller, ZeniaAtypical Provider Type-NPI Not

IssuedChore Termination 9/1/2017 Permanent N/A

Violation of NMAP Policy

Millien, ChantellAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/31/2013 Permanent N/A

Violation of NMAP Policy

1/11/2018 Mincey, JoleneAtypical Provider Type-NPI Not

IssuedChore Termination 8/26/2017 Permanent N/A

Violation of NMAP Policy

2/12/2019 Mines, Jillian MarieAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

6/1/2020 Mirmiran, Hannah 1720249212 Physician Termination 5/15/2020 Permanent NAViolation of NMAP

Policy

4/2/2015 Mister, AprilAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/31/2014 Permanent N/A

Violation of NMAP Policy

1/2/2018 Mitchell, AudsheonaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

12/29/2017 Mitchell, Joanna Amerita VonshaeAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/19/2017 Permanent N/A

Violation of NMAP Policy

12/31/2018 Mitzlaff, AnneAtypical Provider Type-NPI Not

IssuedDD Waiver-Community Living and

Day SupportsTermination 9/4/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Moellenberndt, Robin S.Atypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

5/21/2018 Mohamed, Abdulquadir JAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

4/30/2019 Mohammed, TarikAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/8/2016 Permanent N/A

Violation of NMAP Policy

2/12/2019 Molzen, MarcellaAtypical Provider Type-NPI not

issuedPersonal Assistance Service Termination 9/17/2018 Permanent N/A

Violation of NMAP Policy

5/31/2018 Montalvo, Joy Atypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 1/21/2018 Permanent N/A

Violation of NMAP Policy

6/19/2018 Montelongo, MagdalenaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Montgomery, ShaunAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

6/25/2018 Montgomery, TammeraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

10/3/2018 Moo, NayAtypical Provider Type-NPI not

issuedChore Termination 8/13/2018 Permanent NA

Violation of NMAP Policy

6/11/2014 Moody, TaniquaAtypical Provider Type-NPI Not

IssuedPAS/Chore Termination 10/27/2013 Permanent N/A

Violation of NMAP Policy

10/11/2017 Moore, BryanAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

5/30/2018 Moore, DeneishaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

8/24/2016 Moore, MariaAtypical Provider Type-NPI Not

IssuedPAS/Chore Exclusion 7/15/2016 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

5/26/2017 Moore-Shockley, HeatherAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/2/2017 Permanent N/A

Violation of NMAP Policy

Moreno, Christine Atypical Provider Type-NPI Not

IssuedPersonal 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/AViolation of NMAP

Policy

5/26/2017 Morin, Douglas 1750543054 Physician Termination 2/15/2017 Permanent N/AViolation of NMAP

Policy

5/3/2018 Morlan, BrendaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

5/13/2018 Morris, LatonyaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

4/15/2014 Morris, SharonAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/16/2014 Permanent N/A

Violation of NMAP Policy

10/31/2014 Morrison, CarlaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/28/2014 Permanent N/A

Violation of NMAP Policy

5/15/2018 Mosley, DeMarcuzAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

1/5/2018 Moura, JosephAtypical Provider Type-NPI Not

IssuedChore Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Moura, MariaAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

5/30/2018 Muhina, IsninoAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 01/21/2018 Permanent N/A

Violation of NMAP Policy

12/16/2019 Muldrew, FarrahAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/14/2016 Permanent N/A

Violation of NMAP Policy

9/28/2017 Mulinix, LindaAtypical Provider Type-NPI Not

IssuedChore Termination 6/28/2017 Permanent N/A

Violation of NMAP Policy

4/23/2018 Muon, ThachAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

5/13/2016 Murphy, Amy Jo 1659472900 Licensed Mental Health Practitioner Termination 10/13/2015 Permanent N/AViolation of NMAP

Policy

10/31/2016 Murphy, DestinyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/21/2016 Permanent N/A

Violation of NMAP Policy

Musungay, Olivier Atypical Provider Type-NPI Not

IssuedPAS/Chore Termination 10/26/2010 Permanent N/A

Violation of NMAP Policy

12/21/2018 Mwebe, David 1609969476 Physician Termination 11/5/2018 Permanent N/AViolation of NMAP

Policy

11/19/2019 Myers, Suzanne 1164973913 Licensed Mental Health Practitioner Termination 8/12/2019 Permanent N/AViolation of NMAP

Policy

3/24/2020 Nash, KristeeAtypical Provider Type-NPI Not

IssuedChore Exclusion 1/28/2020 Permanent NA

Violation of NMAP Policy

11/28/2017 Neal, BrandyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/18/2017 Permanent N/A

Violation of NMAP Policy

6/11/2014 Neeman, KameronAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/26/2013 Permanent N/A

Violation of NMAP Policy

1/2/2018 Nelson, Candace M.Atypical Provider Type-NPI Not

IssuedChore Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Nelson, JenniferAtypical Provider Type-NPI Not

IssuedChore 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/AViolation of NMAP

Policy

4/13/2018 Neville, Cassie LynnAtypical Provider Type-NPI Not

IssuedChore Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Neville, MarkAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Newell, LaParris LenaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

9/14/2018 Newman, KennethAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 2/18/2018 Permanent N/A

Violation of NMAP Policy

2/21/2017 Ngamelue, CamillusAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 1/5/2017 Permanent N/A

Violation of NMAP Policy

12/31/2018 Nguyen, HahnAtypical Provider Type-NPI Not

IssuedChore Termination 9/4/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Nguyen, Joanna ThiAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

2/12/2019 Nguyen, MargaritaAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

10/3/2018 Nguyen, Thien HoangAtypical Provider Type-NPI not

issuedPersonal Assistance Service Termination 7/30/2018 Permanent NA

Violation of NMAP Policy

7/10/2018 Ngwenya, BrianAtypical Provider Type-NPI Not

IssuedDD Waiver-Community Living and

Day SupportsTermination 6/5/2018 Permanent N/A

Violation of NMAP Policy

3/6/2020 Nice, Brian 1508198672 Physician Assistant Termination 2/28/2020 Permanent N/AViolation of NMAP

Policy

6/25/2018 Nichelson, TammyAtypical Provider Type-NPI Not

IssuedChore Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Nicholas, EricaAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

11/29/2016 Nicholas, KristinAtypical Provider Type-NPI Not

IssuedChore Termination 10/28/2016 Permanent N/A

Violation of NMAP Policy

2/26/2020 Nielsen, Aaron J. 1821296955 Chiropractor Termination 2/11/2020 Permanent N/AViolation of NMAP

Policy

Nix, Cynthia KayAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/5/2012 Permanent N/A

Violation of NMAP Policy

7/10/2018 Njawe, Derick NgamalueAtypical Provider Type-NPI Not

IssuedDD Waiver-Community Living and

Day SupportsTermination 6/12/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Noble, CarlaAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

11/29/2016 Nockels, LauraAtypical Provider Type-NPI Not

IssuedChore Termination 10/28/2016 Permanent N/A

Violation of NMAP Policy

7/7/2017 Nolan, DeborahAtypical Provider Type-NPI Not

IssuedChore Exclusion 5/19/2017 Permanent N/A

Violation of NMAP Policy

8/8/2016 Nolan, DianeAtypical Provider Type-NPI Not

IssuedChore Termination 6/13/2016 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

Norris, Angela LorraineAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/4/2009 Permanent N/A

Violation of NMAP Policy

1/11/2018 Nunez, AidaAtypical Provider Type-NPI Not

IssuedChore Termination 10/21/2017 Permanent N/A

Violation of NMAP Policy

9/18/2020 Nunn, LaCrystaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/17/2017 Permanent N/A

Violation of NMAP Policy

3/23/2018 Nunn, WillieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/18/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Nuno, HelenAtypical Provider Type-NPI Not

IssuedChore Termination 7/21/2017 Permanent N/A

Violation of NMAP Policy

4/15/2014 O'Brien, NicholeAtypical Provider Type-NPI Not

IssuedDD Waiver-Community Living and

Day SupportsTermination 1/13/2014 Permanent N/A

Violation of NMAP Policy

2/24/2014 O'Connell, Shawn PAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/31/2012 Permanent N/A

Violation of NMAP Policy

O'Connor, Debra AnnAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/23/2013 Permanent N/A

Violation of NMAP Policy

5/11/2018 Oakland, Paul A. 1578806584 Mental Health Professional Termination 5/10/2018 Permanent N/AViolation 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/AViolation of NMAP

Policy

6/15/2018 Oliva, Maria Atypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

2/12/2019 Oliver, AdaAtypical Provider Type-NPI Not

IssuedChore Termination 9/10/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Oliver, AmberAtypical Provider Type-NPI Not

IssuedChore Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

8/18/2015 Olmos, Edmund Miguel Jr.Atypical Provider Type-NPI Not

IssuedChore Termination 7/17/2015 Permanent N/A

Violation of NMAP Policy

12/8/2017 Opbroek, AmandaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 11/13/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Orchard, Coleman SpencerAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

11/29/2016 Ortegren, JessicaAtypical Provider Type-NPI Not

IssuedChore Termination 5/5/2011 Permanent N/A

Violation of NMAP Policy

4/13/2018 Ortez, Micki L.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

3/29/2019 Osnes, TinaAtypical Provider Type-NPI Not

IssuedChore Termination 9/24/2018 Permanent N/A

Violation of NMAP Policy

11/29/2016 Ott, Amber LynnAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 10/3/2016 Permanent N/A

Violation of NMAP Policy

Owens, AliceAtypical Provider Type-NPI Not

IssuedChore Termination 3/16/2007 Permanent N/A

Violation of NMAP Policy

5/26/2017 Palermo-Thurlow, ChristineTerminated Prior to NPI

RequirementProvisionally Licensed Mental Health

PractitionerExclusion 5/7/2017 Permanent N/A

Violation of NMAP Policy

5/30/2018 Palmore, BradleyAtypical Provider Type-NPI Not

IssuedChore Termination 1/21/2018 Permanent N/A

Violation of NMAP Policy

3/23/2018 Palmore, JeanetteAtypical Provider Type-NPI Not

IssuedChore Termination 3/23/2018 Permanent N/A

Violation of NMAP Policy

6/25/2018 Panford, WilmaAtypical Provider Type-NPI Not

IssuedChore Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

6/25/2018 Pankonin, AnnieAtypical Provider Type-NPI Not

IssuedChore Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

2/21/2017 Pankonin, AshleyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/28/2016 Permanent N/A

Violation of NMAP Policy

2/24/2014 Parker, BrittanyAtypical Provider Type-NPI Not

IssuedMedicaid Waiver Childcare and

RespiteTermination 11/20/2013 Permanent N/A

Violation of NMAP Policy

9/28/2017 Parris, DanielleAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

3/13/2019 Patak, DebraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/25/2019 Permanent N/A

Violation of NMAP Policy

6/18/2018 Patman, Teresa Atypical Provider Type-NPI Not

IssuedChore Termination 3/1/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Patterson, SheilaAtypical Provider Type-NPI Not

IssuedChore Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

10/30/2015 Paul, AshleyAtypical Provider Type-NPI Not

IssuedDD Waiver-Community Living and

Day SupportsTermination 7/30/2015 Permanent N/A

Violation of NMAP Policy

10/31/2014 Paup, AmberAtypical Provider Type-NPI Not

IssuedChore Termination 9/26/2012 Permanent N/A

Violation of NMAP Policy

10/3/2018 Paw, Lay Lay Atypical Provider Type-NPI Not

IssuedChore Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

10/11/2017 Payne, CatherineAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/21/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Payton, LaParisAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

Pearson, Tracey PLMHPTerminated Prior to NPI

RequirementProvisionally Licensed Mental Health

PractitionerTermination 3/17/2008 Permanent N/A

Violation of NMAP Policy

6/15/2018 Peasley, Cheyenne F.LAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Pena Guzman, Maria MAtypical Provider Type-NPI Not

IssuedChore Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

3/28/2019 Peng, ZongAtypical Provider Type-NPI Not

IssuedChore Termination 9/24/2018 Permanent N/A

Violation of NMAP Policy

8/14/2018 Penix, TonyaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/9/2018 Permanent N/A

Violation of NMAP Policy

8/8/2016 Perry, JeffryAtypical Provider Type-NPI Not

IssuedChore Termination 4/9/2016 Permanent N/A

Violation of NMAP Policy

10/31/2016 Perry, WinzettaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/19/2016 Permanent N/A

Violation of NMAP Policy

4/4/2017 Peters, PeggyAtypical Provider Type-NPI Not

IssuedChore Termination 2/15/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Peters, TheodoreAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Peterson, CynthiaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

6/15/2018 Peterson, PatriciaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Pfeifer, ColleenAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/16/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Pfeifer, SavanahAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

4/13/2018 Pflaster, SamanthaAtypical Provider Type-NPI Not

IssuedChore Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

5/30/2018 Pham, Hue KAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

3/30/2016 Pharmacy Specialty Services 1144374679 Pharmacy Termination 2/12/2016 Permanent N/AViolation of NMAP

Policy

6/5/2018 Phillips, TashiaAtypical Provider Type-NPI Not

IssuedChore Termination 5/24/2018 Permanent N/A

Violation of NMAP Policy

4/23/2018 Phroper, Sheila Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

8/24/2016 Picotte, AndreaAtypical Provider Type-NPI Not

IssuedChore Exclusion 7/15/2016 Permanent N/A

Violation of NMAP Policy

5/3/2018 Pierce, Joy R.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

2/21/2017 Pierce, Kyanna (aka Pierce, Kyonna)Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/20/2016 Permanent N/A

Violation of NMAP Policy

5/30/2018 Piska, MaryAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

6/25/2018 Poindexter, MelvinAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

5/26/2017 Pope-Bauer, DonnaAtypical Provider Type-NPI Not

IssuedChore Termination 1/30/2017 Permanent N/A

Violation of NMAP Policy

5/16/2019 Poore, RobertAtypical Provider Type-NPI Not

IssuedDD Provider Termination 8/17/2018 Permanent N/A

Violation of NMAP Policy

5/31/2019 Porter, Mark 1346395522 Licensed Drug & Alcohol Counselor Termination 5/23/2019 Permanent N/AViolation of NMAP

Policy

2/12/2019 Pospisil Aguiniga, Kathryn Atypical Provider Type-NPI Not

IssuedChore Termination 9/10/2018 Permanent N/A

Violation of NMAP Policy

4/4/2019 Potter-Bey, JohnAtypical Provider Type-NPI Not

IssuedDD Waiver-Community Living and

Day SupportsTermination 3/29/2019 Permanent N/A

Violation of NMAP Policy

6/25/2018 Pratt, JimmiAtypical Provider Type-NPI Not

IssuedChore Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

7/10/2017 Prentice, Teresa S.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 5/14/2017 Permanent N/A

Violation of NMAP Policy

11/13/2014 Price, Stephen K.Atypical Provider Type-NPI Not

IssuedChore Termination 10/1/2014 Permanent N/A

Violation of NMAP Policy

10/4/2017 Privett, LauraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

10/30/2015 Proctor, JulieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/5/2015 Permanent N/A

Violation of NMAP Policy

6/18/2018 Puk, SarahAtypical Provider Type-NPI Not

IssuedChore Termination 3/1/2018 Permanent N/A

Violation of NMAP Policy

2/21/2017 Quality Pain Therapies 1285835231 Retailer Termination 12/20/2016 Permanent N/AViolation of NMAP

Policy

4/15/2014 Quinn, RicheleAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/31/2014 Permanent N/A

Violation of NMAP Policy

7/10/2017 Rai, PrasadAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/2/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Ramirez, AnthonyAtypical Provider Type-NPI Not

IssuedChore Termination 9/2/2017 Permanent N/A

Violation of NMAP Policy

2/25/2017 Ramirez, Jeffrey J.Atypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Ramirez, MariaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Raven, Melissa RAtypical Provider Type-NPI not

issuedPersonal Assistance Service Termination 8/13/2018 Permanent NA

Violation of NMAP Policy

7/3/2018 Rawson, BarbaraAtypical Provider Type-NPI Not

IssuedChore Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Redd, AishaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

4/4/2017 Reed, Dawn K.Atypical Provider Type-NPI Not

IssuedChore Termination 2/15/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Reichert, LeannaAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Reissener, AngelaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/1/2018 Permanent N/A

Violation of NMAP Policy

7/7/2017 Richardson, Charles Jr.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/29/2017 Permanent N/A

Violation of NMAP Policy

6/18/2018 Richardson, JorellAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/1/2018 Permanent N/A

Violation of NMAP Policy

5/31/2019 Richey, AlishaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/23/2019 Permanent N/A

Violation of NMAP Policy

6/14/2017 Right Choice Cleaning ServiceAtypical Provider Type-NPI Not

IssuedChore Termination 4/17/2017 Permanent N/A

Violation of NMAP Policy

6/14/2017 Right Touch Homecare Service SpecialistAtypical Provider Type-NPI Not

IssuedChore Termination 8/26/2016 Permanent N/A

Violation of NMAP Policy

12/26/2017 Rimpley, Heather R.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/19/2017 Permanent N/A

Violation of NMAP Policy

6/14/2017 Rivera, KathyAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/3/2017 Permanent N/A

Violation of NMAP Policy

Rivera, LourdesAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/6/2012 Permanent N/A

Violation of NMAP Policy

4/30/2019 Roach, ShepphardAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/2/2018 Permanent N/A

Violation of NMAP Policy

5/3/2018 Robb, JoniAtypical Provider Type-NPI Not

IssuedChore Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

5/30/2018 Roberts, CherrillAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

5/4/2018 Robertson, JulieAtypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

4/30/2019 Robertson, SamanthaAtypical Provider Type-NPI Not

IssuedChore Termination 4/19/2019 Permanent N/A

Violation of NMAP Policy

10/3/2018 Robles, PaulaAtypical Provider Type-NPI not

issuedChore Termination 7/30/2018 Permanent NA

Violation of NMAP Policy

12/31/2018 Rockford, Shannon AAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 8/19/2018 Permanent NA

Violation of NMAP Policy

5/16/2019 Rodriguez, DaisyAtypical Provider Type-NPI Not

IssuedChore Termination 5/3/2019 Permanent NA

Violation of NMAP Policy

12/21/2018 Rodriguez, Kim 1386851871Licensed Independent Mental Health

PractitionerTermination 12/10/2018 Permanent NA

Violation of NMAP Policy

5/31/2018 Rodriguez Garcia, LiudmilaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/21/2018 Permanent N/A

Violation of NMAP Policy

Roecker, Tracy JeanAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/6/2013 Permanent N/A

Violation of NMAP Policy

1/11/2018 Roeder, ConnieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/21/2017 Permanent N/A

Violation of NMAP Policy

3/13/2019 Rohde, BarbaraAtypical Provider Type-NPI Not

IssuedDisability CC Termination 2/26/2019 Permanent N/A

Violation of NMAP Policy

12/21/2018 Rohr, Jason 1962580373 Dentist Termination 11/6/2018 Permanent N/AViolation of NMAP

Policy

5/4/2018 Rosales, FelicitasAtypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

8/6/2020 Rose, AnthonyAtypical Provider Type-NPI Not

IssuedChore Termination 6/17/2020 Permanent N/A

Violation of NMAP Policy

7/2/2018 Roth, RobinAtypical Provider Type-NPI Not

IssuedChore Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

7/10/2017 Rotherham, BrookeAtypical Provider Type-NPI Not

IssuedRespite Exclusion 4/23/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Rousseau, Albirtina J.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

12/31/2018 Roy, Marydel MarieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/17/2018 Permanent N/A

Violation of NMAP Policy

2/23/2018 Rubio, GabrielaAtypical Provider Type-NPI Not

IssuedChore Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

9/20/2019 Russell, ShannonAtypical Provider Type-NPI Not

IssuedChore Termination 9/13/2019 Permanent N/A

Violation of NMAP Policy

2/17/2017 Russell, Sarha Atypical Provider Type-NPI Not

IssuedChore Termination 11/10/2008 Permanent N/A

Violation of NMAP Policy

6/15/2018 Russell, TemetriaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Sabin-Kohl, Lisa DAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

8/14/2018 Said, NigarAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 7/18/2018 Permanent N/A

Violation of NMAP Policy

12/8/2017 Sailer, DonnaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/24/2017 Permanent N/A

Violation of NMAP Policy

7/7/2017 Saldivar, AnnAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Salim, ManaaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

10/3/2018 Salinas, Helen Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

7/3/2018 Samaritan Home Health CareAtypical Provider Type-NPI Not

IssuedChore Termination 4/24/2018 Permanent N/A

Violation of NMAP Policy

12/5/2017 Sanchez-Prado, Shelli RAtypical Provider Type-NPI Not

IssuedChore Termination 11/18/2017 Permanent N/A

Violation of NMAP Policy

7/3/2018 Sanford, Barbara 1982757258 Licensed Mental Health Practitioner Termination 9/23/2018 Permanent N/AViolation of NMAP

Policy

5/21/2018 Sankey, Jana LAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Santee, LindaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

6/19/2019 Saxe, Sandra KayAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/13/2019 Permanent N/A

Violation of NMAP Policy

10/11/2017 Schleicher, Shelby LAtypical Provider Type-NPI Not

IssuedChore Termination 8/19/2017 Permanent N/A

Violation of NMAP Policy

8/24/2016 Schilling, RacieAtypical Provider Type-NPI Not

IssuedChore Termination 7/9/2016 Permanent N/A

Violation of NMAP Policy

6/25/2018 Schindler, Bradley ThomasAtypical Provider Type-NPI Not

IssuedChore Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

Schollmeyer, Charles W. DCTerminated Prior to NPI

RequirementChiropractor Termination 3/22/2008 Permanent N/A

Violation of NMAP Policy

6/15/2018 Schlotfeld, AshleyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Schmidt, DonnaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Schukei, TriciaAtypical Provider Type-NPI Not

IssuedChore Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

5/30/2018 Schumm, Ascha LAtypical Provider Type-NPI Not

IssuedChore Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

12/31/2018 Schurevich, CourtneyAtypical Provider Type-NPI Not

IssuedCommunity Living Day Support Termination 8/19/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Schwanke, AmandaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

5/21/2018 Schweitzer, JanaAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

10/3/2018 Scott, ToniAtypical Provider Type-NPI not

issuedPersonal Assistance Service Termination 8/27/2018 Permanent NA

Violation of NMAP Policy

5/21/2018 Seals, Brandy NAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

Sebesta, BrendaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/8/2011 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

6/15/2018 Severyn, TaylorAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

6/25/2018 Shafer, LisaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

5/31/2018 Shamo, NadeemaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/21/2018 Permanent N/A

Violation of NMAP Policy

5/26/2017 Shcherbiy, MakismAtypical Provider Type-NPI Not

IssuedChore Termination 2/3/2017 Permanent N/A

Violation of NMAP Policy

12/21/2018 Sheard, BryceAtypical Provider Type-NPI Not

IssuedChore Termination 11/26/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Sheppard, Joyce JAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

4/2/2015 Sheridan, JerikaAtypical Provider Type-NPI Not

IssuedPAS/Chore Termination 2/18/2015 Permanent N/A

Violation of NMAP Policy

9/28/2017 Sieber, Carolyn KayAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

12/31/2018 Siemering, CarmenAtypical Provider Type-NPI Not

IssuedChore Termination 9/4/2018 Permanent N/A

Violation of NMAP Policy

Sifuentes, PeggyAtypical Provider Type-NPI Not

IssuedChore Termination 4/9/2013 Permanent N/A

Violation of NMAP Policy

2/21/2017 Silvi, Amy L.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/5/2017 Permanent N/A

Violation of NMAP Policy

1/18/2018 Simmerman, Connie R.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/21/2017 Permanent N/A

Violation of NMAP Policy

Simmons, Joan LMHPTerminated Prior to NPI

RequirementLicensed Mental Health Practitioner Termination 6/30/2008 Permanent N/A

Violation of NMAP Policy

1/2/2019 Simonson, MonicaAtypical Provider Type-NPI Not

IssuedChore Termination 9/7/2018 Permanent N/A

Violation of NMAP Policy

10/3/2018 Simonton, Diana Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

2/23/2018 Simpson, JeniferAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/25/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Sitawi, AtyafAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/26/2017 Permanent N/A

Violation of NMAP Policy

9/20/2019 Smart Lab LLC 1770980062 Laboratory Termination 7/27/2019 Permanent N/AViolation of NMAP

Policy

5/13/2016 Smith, Alan J. 1659372753 Licensed Psychologist PhD Termination 6/2/2015 Permanent N/AViolation of NMAP

Policy

7/3/2018 Smith, AndreaAtypical Provider Type-NPI Not

IssuedChore Termination 5/15/2018 Permanent N/A

Violation of NMAP Policy

7/7/2017 Smith, BarbaraAtypical Provider Type-NPI Not

IssuedChore Termination 6/28/2017 Permanent N/A

Violation of NMAP Policy

2/21/2017 Smith, BenniceAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/20/2016 Permanent N/A

Violation of NMAP Policy

10/11/2017 Smith, Hailey MAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/21/2017 Permanent N/A

Violation of NMAP Policy

9/18/2020 Smith, JaimeAtypical Provider Type-NPI Not

IssuedChore Termination 9/4/2020 Permanent N/A

Violation of NMAP Policy

10/4/2017 Smith, Ka'Deidra Atypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

11/19/2019 Smith, KamrynAtypical Provider Type-NPI not

issuedRespite Termination 8/30/2019 Permanent NA

Violation of NMAP Policy

5/4/2018 Smith, NicholasAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

4/30/2020 Smith, Patricia NicoleAtypical Provider Type-NPI not

issuedPersonal Assistance Service Termination 3/31/2020 Permanent N/A

Violation of NMAP Policy

6/15/2018 Smith, RobinAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

1/31/2020 Smith, SheilaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/14/2019 Permanent N/A

Violation of NMAP Policy

3/23/2018 Smith, TeyonnaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/14/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Smith, Wayne M.Atypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Smith, WilthellaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

5/4/2018 Smollen, WilliamAtypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

2/12/2019 Snowe, SallyAtypical Provider Type-NPI Not

IssuedChore Termination 9/17/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Soester, PamelaAtypical Provider Type-NPI Not

IssuedChore Termination 9/2/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Soma, StephenAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Songer, BrittanyAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

6/15/2018 Sorokin, Andrei IAtypical Provider Type-NPI Not

IssuedChore Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

5/16/2019 Spahr, Kenda (Hayes)Atypical Provider Type-NPI Not

IssuedChore Termination 10/14/2018 Permanent N/A

Violation of NMAP Policy-FCBC

2/12/2019 Spence, RyanAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2019 Permanent N/A

Violation of NMAP Policy

Springer, AngelaAtypical Provider Type-NPI Not

IssuedChore Termination 5/17/2015 Permanent N/A

Violation of NMAP Policy

12/8/2017 Springer, Misty ChristinaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/7/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Spotanski, CherylAtypical Provider Type-NPI not

issuedChore Termination 8/27/2018 Permanent NA

Violation of NMAP Policy

1/24/2019 Stabler, Wehnona NA Managing Employee Exclusion 1/10/2019 Permanent NAViolation of NMAP

Policy

7/7/2017 Stancil-Dowden, Linda 1487737243Licensed Independent Mental Health

Practitioner Exclusion 4/23/2017 Permanent N/A

Violation of NMAP Policy

2/12/2019 Stangle, Shirley Atypical Provider Type-NPI Not

IssuedChore Termination 9/10/2018 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

5/27/2016 Stanton, VernaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/26/2016 Permanent N/A

Violation of NMAP Policy

7/3/2018 Starke, LaurieAtypical Provider Type-NPI Not

IssuedChore Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

10/31/2016 Starr, ChristiAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/10/2014 Permanent N/A

Violation of NMAP Policy

12/16/2016 Statewide Medical Equipment, Inc. 1871589721 Retailer Termination 2/1/2016 Permanent N/AViolation of NMAP

Policy

5/30/2018 Stearnes, CharmineAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Stenka, ShayleneAtypical Provider Type-NPI Not

IssuedChore Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Stennis, KennethAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Stephens, TenaAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

5/15/2018 Stetson, Chad TAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

11/17/2017 Stevens, MichaelAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 8/11/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Stewart-Poe, SamanthaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Steyer, KatieAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Stoneking, Jennefer JAtypical Provider Type-NPI Not

IssuedChore Termination 9/16/2017 Permanent N/A

Violation of NMAP Policy

11/13/2014 Straka, Scott Daniel 1932123916 Physician Termination 9/25/2014 Permanent N/AViolation of NMAP

Policy

9/28/2017 Straughn, MistyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Straw, RickAtypical Provider Type-NPI Not

IssuedChore Termination 3/7/2017 Permanent N/A

Violation of NMAP Policy

3/6/2018 Stubblefield, Cynthia S.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

5/21/2018 Stutzman, AmyAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

5/4/2018 Subasic, LejlaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Subba, Bishnu MayaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

5/15/2018 Sukup, NatashaAtypical Provider Type-NPI Not

IssuedChore Termination 1/13/2018 Permanent N/A

Violation of NMAP Policy

11/19/2019 Summerfield, MeaganAtypical Provider Type-NPI Not

IssuedRespite Termination 11/7/2019 Permanent N/A

Violation of NMAP Policy

6/18/2018 Summers, DonnaAtypical Provider Type-NPI Not

IssuedChore Termination 3/1/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Swain, LashettaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

2/21/2017 Swanson, BrandiAtypical Provider Type-NPI Not

IssuedDisability CC Termination 12/22/2016 Permanent N/A

Violation of NMAP Policy

1/11/2018 Swartzendruber, DeboraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/21/2017 Permanent N/A

Violation of NMAP Policy

5/31/2019 Sweeney, Michael 1386605558 Dentist Termination 5/12/2016 Permanent N/AViolation of NMAP

Policy

5/30/2018 Sweet, HelenAtypical Provider Type-NPI Not

IssuedChore Termination 1/11/2017 Permanent N/A

Violation of NMAP Policy

3/30/2016 Swenson, Deborah 1902029952Licensed Independent Mental Health

Practitioner Termination 1/11/2016 Permanent N/A

Violation of NMAP Policy

6/25/2018 Tadysheva, NadiaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

12/30/2016 Tafoya, TamekaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 11/10/2016 Permanent N/A

Violation of NMAP Policy

9/28/2017 Tamang, KewalAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Tarnick , Darla K Atypical Provider Type-NPI Not

IssuedPAS/Chore Termination 7/23/2018 Permanent NA

Violation of NMAP Policy

6/15/2018 Taylor, AshleyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Taylor, BreannaAtypical Provider Type-NPI Not

IssuedChore Termination 1/21/2017 Permanent N/A

Violation of NMAP Policy

1/24/2019 Taylor, BrittneyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/17/2019 Permanent N/A

Violation of NMAP Policy

6/23/2017 Taylor, CandraAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/2/2017 Permanent N/A

Violation of NMAP Policy

4/13/2018 Taylor, Carol A.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

5/26/2017 Taylor, ChelseaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/20/2017 Permanent N/A

Violation of NMAP Policy

5/30/2018 Taylor, Cindy AAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/11/2018 Permanent N/A

Violation of NMAP Policy

2/21/2017 Taylor-Jones, NichelleAtypical Provider Type-NPI Not

IssuedPAS/CHORE Exclusion 1/9/2017 Permanent N/A

Violation of NMAP Policy

10/30/2015 Thacker, MichelleAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/31/2013 Permanent N/A

Violation of NMAP Policy

9/30/2016 Thalman, Donald R.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/22/2016 Permanent N/A

Violation of NMAP Policy

6/19/2015 Thayer, Norma RAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 4/28/2015 Permanent N/A

Violation of NMAP Policy

12/8/2017 Thomas, SarahAtypical Provider Type-NPI Not

IssuedChore Termination 11/15/2017 Permanent N/A

Violation of NMAP Policy

2/21/2017 Thompson, Bridget 1629298096Licensed Independent Mental Health

Practitioner Termination 11/15/2016 Permanent N/A

Violation of NMAP Policy

8/24/2016 Thomsen, AprilAtypical Provider Type-NPI Not

IssuedChore Exclusion 6/27/2016 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

6/15/2018 Todd, TrudyAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

3/29/2019 Tomjack, VickiAtypical Provider Type-NPI Not

IssuedChore Termination 9/25/2018 Permanent N/A

Violation of NMAP Policy

Toney, Cardawna Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/27/2008 Permanent N/A

Violation of NMAP Policy

6/25/2018 Toney, CaresleyAtypical Provider Type-NPI Not

IssuedChore Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

1/5/2018 Torres, ElvinAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

12/30/2016 Torres, JoseAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/21/2016 Permanent N/A

Violation of NMAP Policy

5/15/2018 Torres, MichaelAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Torres-Wells, RenazyaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/19/2018 Permanent N/A

Violation of NMAP Policy

5/26/2017 Toth, ChristineAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 5/10/2017 Permanent N/A

Violation of NMAP Policy

2/21/2017 Tran, Ann T.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/23/2016 Permanent N/A

Violation of NMAP Policy

3/30/2016 Tran, Scott NA Pharmacy Exclusion 2/12/2016 Permanent N/AViolation of NMAP

Policy

10/31/2014 Tribulato, Martina Marie 1215946751 Physician Termination 5/19/2014 Permanent N/AViolation of NMAP

Policy

9/28/2017 Trook, Nickolas BAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

5/4/2018 Truax, PennyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

Trudell, Tyler LAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/31/2011 Permanent N/A

Violation of NMAP Policy

2/21/2017 Turner, RodgerAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service

Termination/ Exclusion

12/9/2016 Permanent N/AViolation of NMAP

Policy

6/14/2017 Turner, RoneiseAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Exclusion 9/26/2016 Permanent N/A

Violation of NMAP Policy

10/11/2017 Turner, TuilaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

5/3/2018 Tvrdy, Alison R.Atypical Provider Type-NPI Not

IssuedChore Termination 11/11/2017 Permanent N/A

Violation of NMAP Policy

Tyrrell, Crystal Atypical Provider Type-NPI Not

IssuedTransportation Termination 10/16/2009 Permanent N/A

Violation of NMAP Policy

10/3/2018 Uribe, Charles L.Atypical Provider Type-NPI not

issuedPersonal Assistance Service Termination 7/30/2018 Permanent NA

Violation of NMAP Policy

10/3/2018 Uribe, Randall 1710385646Provisionally Licensed Drug &

Alcohol CounselorTermination 9/27/2018 Permanent NA

Violation of NMAP Policy

Ulrich, Lana Atypical Provider Type-NPI Not

IssuedChore 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/AViolation of NMAP

Policy

3/6/2018 Underwood, DarleneAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

Urtel, Marian AshleyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/2/2010 Permanent N/A

Violation of NMAP Policy

6/15/2018 Valdase, JessicaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

10/3/2018 Valencia, Jose CisnerosAtypical Provider Type-NPI Not

IssuedChore Termination 8/20/2018 Permanent N/A

Violation of NMAP Policy

10/30/2015 Valle, KristinaAtypical Provider Type-NPI Not

IssuedChore Termination 8/19/2015 Permanent N/A

Violation of NMAP Policy

Varona, RoxanaAtypical Provider Type-NPI Not

IssuedChore Termination 10/24/2011 Permanent N/A

Violation of NMAP Policy

6/15/2018 Vatulko, LidiyaAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

5/21/2018 Vega, Cruz M.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

3/31/2018 Verzani, AllieAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

2/12/2019 Verzani, LoraAtypical Provider Type-NPI Not

IssuedChore Termination 9/10/2018 Permanent N/A

Violation of NMAP Policy

10/4/2017 Vogt, KathleenAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

5/26/2017 Vosler, BrendaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/10/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Villafuerte Barcenas, AdelaAtypical Provider Type-NPI Not

IssuedChore Termination 8/9/2017 Permanent N/A

Violation of NMAP Policy

10/30/2015 Wagner, MonicaAtypical Provider Type-NPI Not

IssuedChore Termination 8/18/2015 Permanent N/A

Violation of NMAP Policy

12/31/2018 Walczyk, TimAtypical Provider Type-NPI Not

IssuedChore Termination 8/17/2018 Permanent N/A

Violation of NMAP Policy

12/21/2018 Wallace, MarcelAtypical Provider Type-NPI Not

IssuedChore Termination 10/6/2018 Permanent N/A

Violation of NMAP Policy

Wallinga, TashiaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/20/2013 Permanent N/A

Violation of NMAP Policy

9/28/2017 Walker, AdamAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

5/15/2018 Walker, Briana LAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/12/2018 Permanent N/A

Violation of NMAP Policy

3/23/2018 Walker, DeWayneAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 2/2/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Walker, Michael IIAtypical Provider Type-NPI Not

IssuedChore Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Walters, MaryAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

2/21/2017 Walton, PhillipAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/5/2016 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

9/28/2017 Wamberg, JoellenAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Ware, TeresaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/11/2017 Permanent N/A

Violation of NMAP Policy

9/29/2017 Washington, SamanthaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

6/25/2018 Washington, TiffanyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 3/15/2018 Permanent N/A

Violation of NMAP Policy

5/30/2018 Watkins, Deborah AAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/21/2017 Permanent N/A

Violation of NMAP Policy

4/2/2015 Webster, ShandirhiaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/6/2015 Permanent N/A

Violation of NMAP Policy

4/4/2017 Weber, Diane K.Atypical Provider Type-NPI Not

IssuedChore Termination 2/15/2017 Permanent N/A

Violation of NMAP Policy

10/3/2018 Wecker, LindaAtypical Provider Type-NPI not

issuedChore Termination 8/13/2018 Permanent NA

Violation of NMAP Policy

2/6/2018 Weese, AmberAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 1/22/2017 Permanent N/A

Violation of NMAP Policy

2/23/2015 Welch, Derrick S.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/9/2014 Permanent N/A

Violation of NMAP Policy

10/13/2020 Wells, Melanie Jo. 1982842027Licensed Independent Mental Health

PractitionerTermination 9/28/2020 Permanent N/A

Violation of NMAP Policy

6/19/2019 Wells, TrinaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/12/2019 Permanent N/A

Violation of NMAP Policy

9/4/2019 Wells-Harris, CornellAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/28/2019 Permanent N/A

Violation of NMAP Policy

7/3/2018 Welton, Darlene LindaAtypical Provider Type-NPI Not

IssuedChore Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

6/26/2018 Wenburg, MirandaAtypical Provider Type-NPI Not

IssuedChore Termination 4/2/2018 Permanent N/A

Violation of NMAP Policy

11/5/2020 Wesley, JeremiahAtypical Provider Type-NPI Not

IssuedChore Termination 11/4/2020 Permanent N/A

Violation of NMAP Policy

12/30/2016 West, Devri J.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 11/21/2016 Permanent N/A

Violation of NMAP Policy

9/28/2017 White, CindyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/30/2017 Permanent N/A

Violation of NMAP Policy

7/3/2018 White, LynettaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/16/2018 Permanent N/A

Violation of NMAP Policy

3/15/2019 White, NancyAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 4/9/2018 Permanent N/A

Violation of NMAP Policy

7/3/2018 Whitfield, MarlenaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/21/2018 Permanent N/A

Violation of NMAP Policy

11/19/2019 Whittle, Thomas 1366476822 Physician Termination 11/14/2019 Permanent N/AViolation of NMAP

Policy

10/11/2017 Whyrick, Jessica DAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/21/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Whytus, TrylondaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/10/2017 Permanent N/A

Violation of NMAP Policy

10/11/2017 Widger, LoriAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Wilkinson, KaliAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

5/10/2019 Williams, Bobby JoAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 5/6/2019 Permanent N/A

Violation of NMAP Policy

5/26/2017 Williams, ChelseaAtypical Provider Type-NPI Not

IssuedChore Termination 5/4/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Williams, CherieAtypical Provider Type-NPI Not

IssuedChore Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Williams, Extra Atypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

Williams, JasmineAtypical Provider Type-NPI Not

IssuedChore Termination 1/4/2011 Permanent N/A

Violation of NMAP Policy

8/31/2020 Williams, MarcenaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 8/26/2020 Permanent N/A

Violation of NMAP Policy

7/10/2018 Williams, SherriAtypical Provider Type-NPI Not

IssuedChore Termination 6/29/2018 Permanent N/A

Violation of NMAP Policy

Williams, WilliettaAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/31/2013 Permanent N/A

Violation of NMAP Policy

7/24/2016 Williams-Mustafa Eddie RuthAtypical Provider Type-NPI Not

IssuedChore Exclusion 6/27/2016 Permanent N/A

Violation of NMAP Policy

2/23/2018 Willis, CherylAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2017 Permanent N/A

Violation of NMAP Policy

Wilson, BrandyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 7/16/2013 Permanent N/A

Violation of NMAP Policy

1/2/2018 Wilson, ConstanceAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 5/14/2017 Permanent N/A

Violation of NMAP Policy

9/28/2017 Wilson, LynetteAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 9/12/2017 Permanent N/A

Violation of NMAP Policy

7/24/2015 Winnebago IHS Hospital 1154451730 IHS Hospital Termination 7/23/2015 Permanent N/AViolation of NMAP

Policy

8/7/2018 Wolff, FrancineAtypical Provider Type-NPI Not

IssuedChore Termination 6/24/2018 Permanent N/A

Violation of NMAP Policy

1/30/2019 Wolff, ThomasAtypical Provider Type-NPI Not

IssuedChore Termination 6/24/2018 Permanent N/A

Violation of NMAP Policy

5/21/2018 Woodward, Joan MAtypical Provider Type-NPI Not

IssuedChore Termination 1/16/2018 Permanent N/A

Violation of NMAP Policy

11/28/2017 Worley, WendyAtypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 10/26/2017 Permanent N/A

Violation of NMAP Policy

10/4/2017 Wortmann, Mary AnnAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 6/4/2017 Permanent N/A

Violation of NMAP Policy

6/19/2019 Wright, Brooke J. 1528280542Licensed Independent Mental Health

PractitionerTermination 6/16/2019 Permanent N/A

Violation of NMAP Policy

Wright, Cheryl I. Atypical Provider Type-NPI Not

IssuedChore Termination 8/29/2011 Permanent N/A

Violation of NMAP Policy

Updated: 12/04/2020

Date Added to NMEP

Provider Name NPI Provider TypeSanction

TypeEffective

DateTerm End Date Reason for Action

10/3/2018 Wright, RobertAtypical Provider Type-NPI Not

IssuedPAS/Chore Termination 3/9/2018 Permanent N/A

Violation of NMAP Policy

9/28/2017 Wrightsell, Chandra NA Owner Exclusion 9/5/2017 Permanent N/AViolation of NMAP

Policy

8/15/2014 Wulf, David E.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 6/5/2014 Permanent N/A

Violation of NMAP Policy

6/25/2018 Wyatt, LindaAtypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 3/22/2018 Permanent N/A

Violation of NMAP Policy

4/13/2018 Wyatt, Michelle L.Atypical Provider Type-NPI Not

IssuedPersonal Assistance Service Termination 12/2/2018 Permanent N/A

Violation of NMAP Policy

7/27/2020 Ybarra, DestinyAtypical Provider Type-NPI Not

IssuedChore Termination 7/24/2020 Permanent N/A

Violation of NMAP Policy

7/7/2017 Yates, Sabrina N.Atypical Provider Type-NPI Not

IssuedPAS/CHORE Termination 6/30/2017 Permanent N/A

Violation of NMAP Policy

6/15/2018 Yoakum, SarahAtypical Provider Type-NPI Not

IssuedChore Termination 2/4/2018 Permanent N/A

Violation of NMAP Policy

10/11/2017 Yosten, Natalie AAtypical Provider Type-NPI Not

IssuedChore Termination 8/19/2017 Permanent N/A

Violation of NMAP Policy

5/13/2016 Young, Anna V 1578701264 Licensed Mental Health Practitioner Termination 8/28/2015 Permanent N/AViolation of NMAP

Policy

9/30/2016 Zackery, DebbieAtypical Provider Type-NPI Not

IssuedChore Termination 8/10/2016 Permanent N/A

Violation of NMAP Policy

6/26/2018 Zipf, MistyAtypical Provider Type-NPI Not

IssuedChore Termination 5/2/2018 Permanent N/A

Violation of NMAP Policy