EXCLUDEDPROVIDER
Individual Revocation

Shelly Renee Bladow

Eden Prairie, MN 55344

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Shelly Renee Bladow of Eden Prairie, MN is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of October 20, 2024.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Eden Prairie, MN 55344
Exclusion date
October 20, 2024
Exclusion type
License revocation, suspension, or surrender (1128b4)
Source dataset
May 2026

Record summary

Shelly Renee Bladow appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Eden Prairie, Minnesota. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is October 20, 2024, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateOctober 20, 2024
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Eden Prairie, MN 55344. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse Practitioner.

Other excluded providers in Eden Prairie, MN

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Eden Prairie, MN address.

Ismail Qasim Individual Program Crime
Eden Prairie, MN · Conviction of program-related crimes · Excluded May 2026
Amal Mohamed Budul Individual Program Crime
Eden Prairie, MN · Conviction of program-related crimes · Excluded Jul 2025
Xiaoyan Hu Individual Program Crime
Eden Prairie, MN · Conviction of program-related crimes · Excluded Jan 2025
Yurub Hashi Sahal Individual Program Crime
Eden Prairie, MN · Conviction of program-related crimes · Excluded Jan 2024
Shukri Yusuf Mire Individual Felony Fraud
Eden Prairie, MN · Felony conviction relating to health care fraud · Excluded Jan 2024
Kaldeq Dahir Yusuf Individual Program Crime
Eden Prairie, MN · Conviction of program-related crimes · Excluded Mar 2022
Grant Marshal Eller Individual Program Crime
Eden Prairie, MN · Conviction of program-related crimes · Excluded Sep 2019
Todd B Clawson Individual Felony Fraud
Eden Prairie, MN · Felony conviction relating to health care fraud · Excluded Apr 2019

See all 16 excluded providers in Eden Prairie →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More excluded individuals in Minnesota More records in Eden Prairie More license revocation, suspension, or surrender records