EXCLUDEDPROVIDER
Individual Revocation

Dennis R Jacobson

Glencoe, MN 55336

Public HHS-OIG LEIE exclusion record

Dennis R Jacobson of Glencoe, MN is listed under National Provider Identifier (NPI) 1346238847. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Dennis R Jacobson is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of January 20, 2010.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Glencoe, MN 55336
Exclusion date
January 20, 2010
Exclusion type
Revocation (1128b4)
NPI
1346238847

Record summary

Dennis R Jacobson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Glencoe, 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 January 20, 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 dateJanuary 20, 2010
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1346238847
UPIND75663
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 Glencoe, MN 55336. The listed provider category is Medical Practice, MD. The listed specialty is Family Practice.

Other excluded providers in Glencoe, MN

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

Brenda Kay Kaukola Individual Program Suspension
Glencoe, MN · Exclusion or suspension under a federal or state health care program · Excluded Dec 2009

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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Related

More Excluded Individuals in Minnesota More Records in Glencoe More Revocation Records