EXCLUDEDPROVIDER
Individual Revocation

Mary Lucile Peterson

Lees Summit, MO 64081

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Mary Lucile Peterson of Lees Summit, MO is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of January 20, 2015.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Lees Summit, MO 64081
Exclusion date
January 20, 2015
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Mary Lucile Peterson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Lees Summit, Missouri. 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, 2015, 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, 2015
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 Lees Summit, MO 64081. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Lees Summit, MO

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Lees Summit, MO address.

Amelia Davis Individual Revocation
Lees Summit, MO · License revocation, suspension, or surrender · Excluded Mar 2025
Jasmine Starr Cobb Individual Revocation
Lees Summit, MO · License revocation, suspension, or surrender · Excluded Jan 2025
Robert W Fansler Individual Felony Fraud
Lees Summit, MO · Felony conviction relating to health care fraud · Excluded Aug 2024
Glenda R Fansler Individual Felony Fraud
Lees Summit, MO · Felony conviction relating to health care fraud · Excluded Aug 2024
Tammy J Jackson Individual Revocation
Lees Summit, MO · License revocation, suspension, or surrender · Excluded Apr 2023
James W Lindsey Individual Fraud
Lees Summit, MO · Conviction relating to fraud · Excluded Mar 2018
Ame Irene Riggs Individual Program Crime
Lees Summit, MO · Conviction of program-related crimes · Excluded Jan 2017
Connie Snow Individual Revocation
Lees Summit, MO · License revocation, suspension, or surrender · Excluded Mar 2015

See all 12 excluded providers in Lees Summit →

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 Missouri More Records in Lees Summit More Revocation Records