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:

Terminated/Excluded Provider(s) Healthcare Profession Effective Date
Alfonso, Lynett Registered Nurse 08/20/2007 OIG Exclusion
Amann (Hampton), Lori Individual 11/15/2018 OIG Exclusion
Azure, Jack Personal Care Aid 06/20/2016 OIG Exclusion
Bailey, Joseph A. Employee Home Health Agency 11/20/2014 OIG Exclusion
Barthel, Dorothy Nurse 04/20/2011 OIG Exclusion
Battiste, Aldo Physician 02/09/2015 State Termination
Beaudry, Holly F. LPN 09/19/2013 OIG Exclusion
Black Eagle, Larin Pharmacy 7/20/2017 OIG Exclusion
Bonnet, Kristy J Nurse 02/20/2019 OIG Exclusion
Bottomley, Paul D. Business Owner 01/20/2014 OIG Exclusion
Brian, Arleda Personal Care Provider 12/19/2016 OIG Exclusion
Bryant, Connie Individual 02/20/2014 OIG Exclusion
Buckland, Krystel Pharmacist 05/20/2014 OIG Exclusion
Centrad Healthcare LLC DME 10/06/2016 State Termination
Christie, Martina A. Individual 09/30/2018 OIG Exclusion
Criswell, Kevin R. Physical Therapist 01/26/2015 State Termination
Crumb, Douglas A. Denturist 04/20/2019 OIG Exclusion
Confirmatrix Laboratory Inc Laboratory 03/22/2018 State Termination
Conti, Gary J. Individual 06/18/2015 OIG Exclusion
Corne, Taylor Renee Personal Care Provider 05/03/2019 OIG Exclusion
Dahl, Kimberly A. LPN 09/20/2011 OIG Exclusion
Davis, Mary Pharmacist 02/20/2018 OIG Exclusion
Diamond-Leistiko, Pamela Personal Care Provider 5/18/2017 OIG Exclusion
Digioacchino, Karyn M. LPN 09/20/2015 OIG Exclusion
Doney, Jennifer A Individual 08/23/2015 OIG Exclusion
Dunning, Leonard F. RN/EMT 02/20/2012 OIG Exclusion
Etzel, Kelly R Physician's Assistance 4/20/2017 OIG Exclusion
Fiscus, Dana A. LPN 05/20/2010 OIG Exclusion
Fleming, Stanley LCPC 11/03/2014 State Termination
Ford, Amy L. Registered Nurse 04/20/2010 OIG Exclusion
Forrest, Donald Individual 08/20/2014 OIG Exclusion
Garner, Amy Lee Licensed Practical Nurse 01/18/2018 OIG Exclusion
Global Medical Direct DME 01/21/2015 State Termination
Gonzales, Gylinda Counselor 02/18/2010 OIG Exclusion
Grundvig, Christina A. Home Health Employee 11/20/2014 OIG Exclusion
Gunderson, Tandy G. Registered Nurse 04/20/2010 OIG Exclusion
Hamlin, Ronda W Personal Care Provider 04/03/2018 OIG Exclusion
Hanna, Elizabeth Pharmacy Technician 02/20/2018 OIG Exclusion
Havelka, Todd Licensed Professional Counselor 02/22/2018 State Termination
Heffelfinger, Arthur L. EMT 12/19/2013 OIG Exclusion
Houle, John C Individual 05/18/2017 OIG Exclusion
Howard, Sarah J. Personal Care Aid 10/20/2016 OIG Exclusion
Howell, George B. Physician 02/20/2016 OIG Exclusion
Hunn, Ben Pharmacist 04/20/2015 OIG Exclusion
Iverson, Scott J EMT 5/18/2017 OIG Exclusion
Jacobs, Kathlene C. Nurse 04/20/2011 OIG Exclusion
Jacquin, Jacqueline Personal Care Provider 06/20/2019 OIG Exclusion
Jones, Gordon B. Physical Therapist 08/20/2013 OIG Exclusion
Jones, Dawn C Individual 08/20/2015 OIG Exclusion
Jones, Jimmy Ray Individual 10/20/2010 OIG Exclusion
Karjala, Freda A LPN 04/20/2015 OIG Exclusion
Kriedeman, Amy S. Individual 03/20/2012 OIG Exclusion
Langlois, Michael J Registered Nurse 01/24/2019 OIG Exclusion
Lewis, Matthew J. Individual 07/18/2013 OIG Exclusion
Lorenz, Kevin M. Physician 08/20/2013 OIG Exclusion
Longmire, Kimberly Sue Personal Care Provider 06/20/2019 OIG Exclusion
McCleery, Cameron Nurse 07/20/2011 OIG Exclusion
Mancuso, Jerome Dentist 01/20/2013 OIG Exclusion
Maxvill, Jack W. Personal Care Aid 04/20/2015 OIG Exclusion
Med-Care Diabetic & Medical Pharmacy/DME 06/07/2016 State Termination
Meeks, Heatherlynn Personal Care Provider 04/03/2018 OIG Exclusion
Meineke, Susan L. Individual 10/20/2011 OIG Exclusion
Mills, Donald Registered Nurse 12/28/2018 OIG Exclusion
Morsette, Theodora A. Individual 06/20/2016 OIG Exclusion
Mosness, Erin M LPN 12/19/2016 OIG Exclusion
Newbreast, Charlotte B. Individual 06/18/2015 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 06/17/2014 OIG Exclusion
Pace, David E. Nursing 07/20/2011 OIG Exclusion
Pace, Ethan N. Nursing 07/20/2011 OIG Exclusion
Pate, Michael W. Home Health Employee 09/19/2014 OIG Exclusion
Pate, Nateese Individual 09/19/2014 OIG Exclusion
Paxton, Robert C. Registered Nurse 01/20/2010 OIG Exclusion
Pepin, Mark LPN 02/20/2016 OIG Exclusion
Pickens, Cory L. Physician 01/01/2014 OIG Exclusion/State Termination
Popoff, Reesa N. Nurse 07/20/2011 OIG Exclusion
Powell, Elizabeth J. Medical Practice Biller 11/20/2017 OIG Exclusion
Reichelt, Connie S. Registered Nurse 03/20/2012 OIG Exclusion
Riggin, Reese R. Chiropractor 09/05/2014 State Termination
Rocky Mountain Center for Oral and Facial Surgery Dental Practice 2/20/2013 OIG Exclusion
Rosette, Timothy W Tribal Agency 7/20/2017 OIG Exclusion
Rozzell, Quentin A. Registered Nurse 09/19/2014 OIG Exclusion
Rydeen, Kristi L. LCPC 07/30/2015 State Termination
Sanderville, Sandra M Individual 08/20/2015 OIG Exclusion
Schroeder, Samantha Personal Care Provider 4/20/2017 OIG Exclusion
Schwend, Nancy Lee Personal Care Aide 06/18/2015 OIG Exclusion
Scott, Robert E. Registered Nurse 11/20/2016 OIG Exclusion
Sirucek, Lori Ann Individual 09/20/2018 OIG Exclusion
Slayton, Joanne H. LPN 04/20/2010 OIG Exclusion
Shallow, Natasha Anesthesiologist 04/23/2018 State Termination
Snyder, Gayle Lynn Registered Nurse 02/20/2013 OIG Exclusion
Sotomayor, Cathy G. Pharmacy Tech 09/20/2011 OIG Exclusion
Stanley, David Registered Nurse 08/27/2018 OIG Exclusion
Stauduhar-Brunell, Tisha LPN 08/20/2013 OIG Exclusion
Still Smoking, Dorothy Individual 06/18/2015 OIG Exclusion
Stronger, Tristan V. Registered Nurse 08/27/2018 OIG Exclusion
Sunchild, Wilford H Individual 08/20/2015 OIG Exclusion
Syverson Hauge, Linda Personal Care Provider 04/03/2018 OIG Exclusion
Tadios, Fawn P Individual 5/20/2015 OIG Exclusion
Templeton, Valerie C. LPN 06/17/2010 OIG Exclusion
Thomas, Eric Physician 10/31/2018 State Termination
Thomas, Killian L. LCSW 06/17/2010 OIG Exclusion
Thomas, Tommathew T. Physician 03/20/2012 OIG Exclusion
Tope, Anna Sue Individual 03/20/2016 OIG Exclusion
Towe (Lewis), Hilda S. Individual 07/18/2013 OIG Exclusion
Trandahl, Dana Licensed Professional Counselor 10/31/2018 State Termination
USA Pathology and Toxicology Laboratory 01/19/2017 State Termination
Walker, Mindy P. LPN 06/17/2010 OIG Exclusion
Weber, Stanley Patrick Physician 05/03/2019 OIG Exclusion
Weller, Jennifer Lynn Nurse 05/03/2019 OIG Exclusion
Werk, Joel DME 04/02/2014 State Termination
Whetston, Allen R. Individual 06/20/2013 OIG Exclusion
White, Gary A. Optometrist 03/02/2018 State Termination