EXCLUDEDPROVIDER
Individual Revocation

Michael Andre Shipe

San Rafael, CA 94903

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Michael Andre Shipe of San Rafael, CA 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
San Rafael, CA 94903
Exclusion date
October 20, 2024
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Michael Andre Shipe appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with San Rafael, California. 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 San Rafael, CA 94903. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in San Rafael, CA

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a San Rafael, CA address.

Kent Gene Carlomagno Individual Revocation
San Rafael, CA · License revocation, suspension, or surrender · Excluded Oct 2024
Wendi Sue Joiner Individual Revocation
San Rafael, CA · License revocation, suspension, or surrender · Excluded Oct 2016
Michelle Lynn Callahan Individual Revocation
San Rafael, CA · License revocation, suspension, or surrender · Excluded Apr 2016
Brian K Boone Individual Revocation
San Rafael, CA · License revocation, suspension, or surrender · Excluded Jan 2015
Hien Trung Dang Individual Revocation
San Rafael, CA · License revocation, suspension, or surrender · Excluded Sep 2014
Dora L Torres Individual Revocation
San Rafael, CA · License revocation, suspension, or surrender · Excluded Dec 2004
Sandra Steder Individual Loan Default
San Rafael, CA · Default on health education loan or scholarship obligations · Excluded Jun 2004
Edward Louis Derosis Individual Revocation
San Rafael, CA · License revocation, suspension, or surrender · Excluded Jan 2003

See all 15 excluded providers in San Rafael →

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 California More records in San Rafael More license revocation, suspension, or surrender records