EXCLUDEDPROVIDER
Individual Revocation

Dawn Marie Falk

Surprise, AZ 85379

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Dawn Marie Falk of Surprise, AZ is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of April 19, 2007.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Surprise, AZ 85379
Exclusion date
April 19, 2007
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Dawn Marie Falk appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Surprise, Arizona. 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 April 19, 2007, 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 dateApril 19, 2007
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 Surprise, AZ 85379. The listed provider category is Nursing Profession. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Surprise, AZ

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Surprise, AZ address.

Kudzai Mangurenje Individual Revocation
Surprise, AZ · License revocation, suspension, or surrender · Excluded Aug 2025
Ibrahim Kuyateh Individual Revocation
Surprise, AZ · License revocation, suspension, or surrender · Excluded Apr 2025
Rhonda Nadean Mccue Individual Revocation
Surprise, AZ · License revocation, suspension, or surrender · Excluded Jan 2025
Kiconya Renee Monger Individual Revocation
Surprise, AZ · License revocation, suspension, or surrender · Excluded Nov 2024
Julia Ann Hillsman Individual Revocation
Surprise, AZ · License revocation, suspension, or surrender · Excluded Nov 2024
Brian Jeffrey Hamilton Individual Revocation
Surprise, AZ · License revocation, suspension, or surrender · Excluded Nov 2023
Terri Lynn Rolston Individual Felony Fraud
Surprise, AZ · Felony conviction relating to health care fraud · Excluded Oct 2021
Malgorzata Iwona Kupis Individual Felony Fraud
Surprise, AZ · Felony conviction relating to health care fraud · Excluded Mar 2021

See all 33 excluded providers in Surprise →

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 Arizona More records in Surprise More license revocation, suspension, or surrender records