EXCLUDEDPROVIDER
Individual Revocation

Kiconya Renee Monger

Surprise, AZ 85388

Public HHS-OIG LEIE exclusion record

Kiconya Renee Monger of Surprise, AZ is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1518334770 with a primary specialty of Licensed Practical Nurse. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Kiconya Renee Monger is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of November 20, 2024.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Surprise, AZ 85388
Exclusion date
November 20, 2024
Exclusion type
Revocation (1128b4)
NPI
1518334770

Record summary

Kiconya Renee Monger 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 November 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 dateNovember 20, 2024
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1518334770
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 85388. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse Practitioner.

NPI Registry context

The LEIE record lists NPI 1518334770. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Licensed Practical Nurse (164W00000X). Registered practice location: Glendale, AZ. NPI enumeration date: Aug 24, 2015. NPPES status: Active. The NPI Registry lists credential: LPN.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

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
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
Boris Robert Brodsky Individual Program Crime
Surprise, AZ · Conviction of program-related crimes · Excluded Jan 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 this record with the official HHS-OIG source Save or print this record Monitor this provider/entity Need to screen a list? Join the bulk screening beta

Remove or correct this record →

Related

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