EXCLUDEDPROVIDER
Individual Revocation

Ellen R Tice

Otis, ME 04605

Public HHS-OIG LEIE exclusion record

Ellen R Tice of Otis, ME is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1558537688 with a primary specialty of Licensed Practical Nurse. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Ellen R Tice is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of June 17, 2010.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Otis, ME 04605
Exclusion date
June 17, 2010
Exclusion type
Revocation (1128b4)
NPI
1558537688

Record summary

Ellen R Tice appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Otis, Maine. 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 June 17, 2010, 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 dateJune 17, 2010
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1558537688
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 Otis, ME 04605. The listed provider category is Nursing Profession. The listed specialty is Nurse / Nurses Aide.

NPI Registry context

The LEIE record lists NPI 1558537688. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Licensed Practical Nurse (164W00000X). Registered practice location: Plymouth Meeting, PA. NPI enumeration date: May 8, 2008. NPPES status: Active.

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.

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.

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