Excluded or Terminated Montana Medicaid Providers
When determined by the appropriate authority, that a Montana Medicaid Provider needs to be terminated or excluded from the Medicaid program under 42 CFR 1002.210, the state agency must provide notification. In accordance with Administrative Rules of Montana (ARM) 37.85.507, 42 CFR 1001.2005 and 42 CFR 1001.2006 this web site serves as notice to the state licensing agencies and others regarding these excluded and or terminated providers.
The following list is not all-inclusive for all excluded or terminated providers and should not be used solely to determine or verify a provider’s enrollment status or ability to provider services under the Montana Medicaid program.
Please check the following web sites to determine provider status:
For further information, please contact Jennifer Tucker, JTucker2@mt.gov, SURS Supervisor, and Rachel Savage, Rachel.Savage@mt.gov, Program Integrity Compliance Specialist.
Download Excluded or Terminated Provider list in Excel
| Terminated/Excluded Provider(s) | Healthcare Profession | Effective Date | |
|---|---|---|---|
| Adams, Timothy | Physician | 7/23/2024 | State Termination |
| Alfonso, Lynett | Registered Nurse | 8/20/2007 | OIG Exclusion |
| Amann (Hampton), Lori | Individual | 11/15/2018 | OIG Exclusion |
| Armstrong, James Haldeman | Physician | 3/20/2023 | OIG Exclusion |
| Azure, Jack | Personal Care Aid | 6/20/2016 | OIG Exclusion |
| Bailey, Joseph A. | Employee Home Health Agency | 11/20/2014 | OIG Exclusion |
| Baisch, Kimberly Dawn | LPN | 2/20/2022 | OIG Exclusion |
| Barthel, Dorothy | Nurse | 4/20/2011 | OIG Exclusion |
| Battiste, Aldo | Physician | 2/9/2015 | State Termination |
| Beaudry, Holly F. | LPN | 9/19/2013 | OIG Exclusion |
| Black Eagle, Larin | Pharmacy | 7/20/2017 | OIG Exclusion |
| Bohannon, Tyler | DME | 3/28/2022 | OIG Termination |
| Bonnet, Kristy J | Nurse | 2/20/2019 | OIG Exclusion |
| Bottomley, Paul D. | Business Owner | 1/20/2014 | OIG Exclusion |
| Boyle, Shane Andrew | Individual | 3/20/2023 | OIG Exclusion |
| Brian, Arleda | Personal Care Provider | 12/19/2016 | OIG Exclusion |
| Bryant, Connie | Individual | 2/20/2014 | OIG Exclusion |
| Christie, Martina A. | Individual | 9/30/2018 | OIG Exclusion |
| Clawson, Charity Glenda | Individual | 1/19/2023 | OIG Exclusion |
| Clement, Ty | LCSW | 3/25/2021 | State Termination |
| a.k.a. Taylor Clement | |||
| a.k.a. Saul Clement | |||
| a.k.a Taylor Woods Clement | |||
| Chenowith, Lindsay Emily | Registered Nurse | 11/20/2022 | OIG Exclusion |
| Coghlan, Sarah Beth | Registered Nurse | 6/20/2023 | OIG Exclusion |
| Conti, Gary J. | Individual | 6/18/2015 | OIG Exclusion |
| Corne, Taylor Renee | Personal Care Provider | 5/3/2019 | OIG Exclusion |
| Cox, Timothy James | Individual | 2/20/2022 | OIG Exclusion |
| Crowe, Katie | Licensed Professional Counselor | 1/31/2023 | State Termination |
| Crumb, Douglas A. | Denturist | 4/20/2019 | OIG Exclusion |
| Cureton, Debroah | Personal Care Provider | 3/19/2020 | OIG Exclusion |
| Cureton, Ninfa | Care Giver | 11/20/2019 | OIG Exclusion |
| Dahl, Kimberly A. | LPN | 9/20/2011 | OIG Exclusion |
| Davis, Mary | Pharmacist | 2/20/2018 | OIG Exclusion |
| Devito, Jacquelyn Marie | APRN | 3/20/2024 | OIG Exclusion |
| Devous, Arnold Scott | Individual | 11/18/2021 | OIG Exclusion |
| Diamond-Leistiko, Pamela | Personal Care Provider | 5/18/2017 | OIG Exclusion |
| Digioacchino, Karyn M. | LPN | 9/20/2015 | OIG Exclusion |
| Doney, Jennifer A | Individual | 8/23/2015 | OIG Exclusion |
| Dunning, Leonard F. | RN/EMT | 2/20/2012 | OIG Exclusion |
| Etzel, Kelly R | Physician's Assistance | 4/20/2017 | OIG Exclusion |
| Evans, Caitlin Ashley | Registered Nurse | 3/20/2024 | OIG Exclusion |
| Evans, Crystal Rose | LCPC | 2/20/2023 | OIG Exclusion |
| Fiscus, Dana A. | LPN | 5/20/2010 | OIG Exclusion |
| Fleming, Stanley | LCPC | 11/3/2014 | State Termination |
| Ford, Amy L. | Registered Nurse | 4/20/2010 | OIG Exclusion |
| Forrest, Donald | Individual | 8/20/2014 | OIG Exclusion |
| Garner, Amy Lee | Licensed Practical Nurse | 1/18/2018 | OIG Exclusion |
| Gascon, Christine | LPC | 8/16/2024 | State Termination |
| Giacoletto, Shantyl Marie | Registered Nurse | 10/19/2023 | OIG Exclusion |
| Global Medical Direct | DME | 1/21/2015 | State Termination |
| Gonzales, Gylinda | Counselor | 2/18/2010 | OIG Exclusion |
| Gregory, Jacob | Individual | 1/19/2022 | OIG Exclusion |
| Gregory, Timothy Flake | Individual | 2/20/2022 | OIG Exclusion |
| Grundvig, Christina A. | Home Health Employee | 11/20/2014 | OIG Exclusion |
| Gunderson, Tandy G. | Registered Nurse | 4/20/2010 | OIG Exclusion |
| Hamlin, Ronda W | Personal Care Provider | 4/3/2018 | OIG Exclusion |
| Hanna, Elizabeth | Pharmacy Technician | 2/20/2018 | OIG Exclusion |
| Harper, Janae | Mid-Level | 3/28/2022 | OIG Termination |
| Harper, Kayla Marie Burch | LCSW | 11/30/2023 | OIG Exclusion |
| Havelka, Todd | Licensed Professional Counselor | 2/22/2018 | State Termination |
| Hayes-Cook, Jessica | LCPC | 6/20/2023 | OIG Exclusion |
| Heffelfinger, Arthur L. | EMT | 12/19/2013 | OIG Exclusion |
| Heller, Marcie April | RN/LPN | 3/19/2020 | OIG Exclusion |
| Henrie, Donna Faye | LCSW | 3/19/2020 | OIG Exclusion |
| Hill, Mark Allen | APRN | 10/20/2022 | OIG Exclusion |
| Hodge, John C. | Physician | 9/11/2023 | State Termination |
| Holingsworth, J. Derek | Physician | 11/20/2019 | OIG Exclusion |
| Houle, John C | Individual | 5/18/2017 | OIG Exclusion |
| Howard, Sarah J. | Personal Care Aid | 10/20/2016 | OIG Exclusion |
| Howell, George B. | Physician | 2/20/2016 | OIG Exclusion |
| Hunn, Ben | Pharmacist | 4/20/2015 | OIG Exclusion |
| Iskander, Raif Wadie | Individual | 10/20/2022 | OIG Exclusion |
| Iverson, Scott J | EMT | 5/18/2017 | OIG Exclusion |
| Jacobs, Kathlene C. | Nurse | 4/20/2011 | OIG Exclusion |
| Jacquin, Jacqueline | Personal Care Provider | 6/20/2019 | OIG Exclusion |
| Jones, Gordon B. | Physical Therapist | 8/20/2013 | OIG Exclusion |
| Jones, Dawn C | Individual | 8/20/2015 | OIG Exclusion |
| Jones, Jimmy Ray | Individual | 10/20/2010 | OIG Exclusion |
| Kambic, Ashley Mary | Individual | 2/20/2022 | OIG Exclusion |
| Kim, Duk H | Individual | 11/25/2021 | OIG Exclusion |
| Kriedeman, Amy S. | Individual | 3/20/2012 | OIG Exclusion |
| Langlois, Michael J | Registered Nurse | 1/24/2019 | OIG Exclusion |
| Lapides, David Ari | Physician | 10/19/2023 | OIG Exclusion |
| Lewis, Matthew J. | Individual | 7/18/2013 | OIG Exclusion |
| Lorenz, Kevin M. | Physician | 8/20/2013 | OIG Exclusion |
| Longmire, Kimberly Sue | Personal Care Provider | 6/20/2019 | OIG Exclusion |
| Lushin, Todd David | Registered Nurse | 6/20/2023 | OIG Exclusion |
| Mancuso, Jerome | Dentist | 1/20/2013 | OIG Exclusion |
| Martel, Trinity Marie | Personal Care Provider | 3/19/2020 | OIG Exclusion |
| Maxvill, Jack W. | Personal Care Aid | 4/20/2015 | OIG Exclusion |
| McCleery, Cameron | Nurse | 7/20/2011 | OIG Exclusion |
| McGree, Patrick Joseph | Physician | 1/19/2022 | OIG Exclusion |
| Med-Care Diabetic & Medical | Pharmacy/DME | 6/7/2016 | State Termination |
| Meeks, Danielle Justice AKA Justin Meeks | Personal Care Provider | 7/30/2020 | OIG Exclusion |
| Meeks, Heatherlynn | Personal Care Provider | 4/3/2018 | OIG Exclusion |
| Meineke, Susan L. | Individual | 10/20/2011 | OIG Exclusion |
| Mills, Donald | Registered Nurse | 12/28/2018 | OIG Exclusion |
| Mohamed, Amr | Physician | 7/23/2024 | State Termination |
| Monahan, Mary Schmidt | Registered Nurse | 10/20/2022 | OIG Exclusion |
| Morsette, Theodora A. | Individual | 6/20/2016 | OIG Exclusion |
| Mosness, Erin M | LPN | 12/19/2016 | OIG Exclusion |
| Newbreast, Charlotte B. | Individual | 6/18/2015 | OIG Exclusion |
| Norton, William T. | Personal Care Provider | 10/20/2016 | OIG Exclusion |
| O’Dell Troy D. | Individual | 10/20/2011 | OIG Exclusion |
| Olson, Christine N. | LPN | 6/17/2014 | OIG Exclusion |
| Pace, David E. | Nursing | 7/20/2011 | OIG Exclusion |
| Pace, Ethan N. | Nursing | 7/20/2011 | OIG Exclusion |
| Pate, Michael W. | Home Health Employee | 9/19/2014 | OIG Exclusion |
| Pate, Nateese | Individual | 9/19/2014 | OIG Exclusion |
| Paxton, Robert C. | Registered Nurse | 1/20/2010 | OIG Exclusion |
| Pentecost, Matthew James | Individual | 1/25/2023 | OIG Exclusion |
| Pepin, Mark | LPN | 2/20/2016 | OIG Exclusion |
| Pickens, Cory L. | Physician | 1/1/2014 | OIG Exclusion/State Termination |
| Popoff, Reesa N. | Nurse | 7/20/2011 | OIG Exclusion |
| Powell, Elizabeth J. | Medical Practice Biller | 11/20/2017 | OIG Exclusion |
| Reichelt, Connie S. | Registered Nurse | 3/20/2012 | OIG Exclusion |
| Riggin, Reese R. | Chiropractor | 9/5/2014 | State Termination |
| Ringdahl, Donya Renee | Individual | 12/20/2021 | OIG Exclusion |
| a.k.a. Hawkins, Donya Renee | |||
| a.k.a. Rockland, Donya Renee | |||
| Rocky Mountain Center for Oral and Facial Surgery | Dental Practice | 2/20/2013 | OIG Exclusion |
| Rognstad, Amanda Jo | LPN | 6/20/2023 | OIG Exclusion |
| Rosette, Timothy W | Tribal Agency | 7/20/2017 | OIG Exclusion |
| Rozzell, Quentin A. | Registered Nurse | 9/19/2014 | OIG Exclusion |
| Rydeen, Kristi L. | LCPC | 7/30/2015 | State Termination |
| Sanderville, Sandra M | Individual | 8/20/2015 | OIG Exclusion |
| Schroeder, Samantha | Personal Care Provider | 4/20/2017 | OIG Exclusion |
| Schwend, Nancy Lee | Personal Care Aide | 6/18/2015 | OIG Exclusion |
| Scott, Robert E. | Registered Nurse | 11/20/2016 | OIG Exclusion |
| Sirucek, Lori Ann | Individual | 9/20/2018 | OIG Exclusion |
| Slayton, Joanne H. | LPN | 4/20/2010 | OIG Exclusion |
| Shallow, Natasha | Anesthesiologist | 4/23/2018 | State Termination |
| Snyder, Gayle Lynn | Registered Nurse | 2/20/2013 | OIG Exclusion |
| Sotomayor, Cathy G. | Pharmacy Tech | 9/20/2011 | OIG Exclusion |
| Stanley, David | Registered Nurse | 8/27/2018 | OIG Exclusion |
| Stauduhar-Brunell, Tisha | LPN | 8/20/2013 | OIG Exclusion |
| Stephenson, Elizabeth Marie | Individual | 3/20/2023 | OIG Exclusion |
| Stewart, Deborah Jean | Individual | 9/20/2021 | OIG Exclusion |
| Stewart, Jessica Lynn | Individual | 9/20/2021 | OIG Exclusion |
| Still Smoking, Dorothy | Individual | 6/18/2015 | OIG Exclusion |
| Stoick, Bradley John | Pharmacist | 2/20/2022 | OIG Exclusion |
| Stronger, Tristan V. | Registered Nurse | 8/27/2018 | OIG Exclusion |
| Sunchild, Wilford H | Individual | 8/20/2015 | OIG Exclusion |
| Svejkovsky, Tristan | Nurse Practitioner | 7/23/2024 | State Termination |
| Syverson Hauge, Linda | Personal Care Provider | 4/3/2018 | OIG Exclusion |
| Tabor, Katina | LPN | 3/20/2023 | OIG Exclusion |
| Tadios, Fawn P | Individual | 5/20/2015 | OIG Exclusion |
| Templeton, Valerie C. | LPN | 6/17/2010 | OIG Exclusion |
| Thomas, Eric | Physician | 10/31/2018 | State Termination |
| Thomas, Killian L. | LCSW | 6/17/2010 | OIG Exclusion |
| Thomas, Tommathew T. | Physician | 3/20/2012 | OIG Exclusion |
| Tope, Anna Sue | Individual | 3/20/2016 | OIG Exclusion |
| Towe (Lewis), Hilda S. | Individual | 7/18/2013 | OIG Exclusion |
| Trandahl, Dana | Licensed Professional Counselor | 10/31/2018 | State Termination |
| Trandahl, Dana Ann | LCPC | 1/19/2022 | OIG Exclusion |
| Tsuber, Timofei | Individual | 12/19/2024 | OIG Exclusion |
| USA Pathology and Toxicology | Laboratory | 1/19/2017 | State Termination |
| Walker, Mindy P. | LPN | 6/17/2010 | OIG Exclusion |
| Walters, Kristina Nichole | Individual | 4/20/2022 | OIG Exclusion |
| Weber, Stanley Patrick | Physician | 5/3/2019 | OIG Exclusion |
| Weller, Jennifer Lynn | Nurse | 5/3/2019 | OIG Exclusion |
| Werk, Joel | DME | 4/2/2014 | State Termination |
| Whetston, Allen R. | Individual | 6/20/2013 | OIG Exclusion |
| White, Sheila Marie | Registered Nurse | 6/17/2021 | OIG Exclusion |
| Zinda, Nichole Lynn | Registered Nurse | 8/16/2024 | OIG Exclusion |