EXCLUDEDPROVIDER
Individual Revocation

Samantha Jo Henley

Mandan, ND 58554

Public HHS-OIG LEIE exclusion record

The HHS-OIG List of Excluded Individuals/Entities (LEIE) file imported by ExcludedProvider.com on October 4, 2026 contains a record for Samantha Jo Henley of Mandan, ND with exclusion type 1128b4, which HHS-OIG's list of exclusion authorities describes as “license revocation, suspension, or surrender”, and an exclusion date of July 18, 2019. This page is not an official HHS-OIG record, and a matching name alone does not show that the record refers to a particular person; confirm identity and current status with HHS-OIG.

Status
Listed in the LEIE file imported October 4, 2026
Record type
Individual
Location
Mandan, ND 58554
Exclusion date
July 18, 2019
Exclusion type
Revocation (1128b4)
LEIE file imported
October 4, 2026

Record summary

Samantha Jo Henley appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Mandan, North Dakota. The exclusion date shown in the source record is July 18, 2019. The exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE downloadable file (UPDATED.csv)
Record typeIndividual
Status in imported filesListed in the LEIE file imported October 4, 2026
Exclusion dateJuly 18, 2019
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
LEIE file importedOctober 4, 2026
File timestampSeptember 10, 2026 (Last-Modified header from the HHS-OIG download server; not an official release date)
HHS-OIG release dateNot independently verified

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 Mandan, ND 58554. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Mandan, ND

Other individuals and entities in the latest imported HHS-OIG LEIE file with a Mandan, ND address.

Laura Hoovestol Individual Revocation
Mandan, ND · License revocation, suspension, or surrender · Exclusion date Jul 20, 2026
Gracious Jamesetta Weah Individual Patient Abuse
Mandan, ND · Conviction relating to patient abuse or neglect · Exclusion date Mar 20, 2023
Rebecca Fruge Anderson Individual Program Crime
Mandan, ND · Conviction of program-related crimes · Exclusion date Apr 20, 2022
Audra Willis Individual Revocation
Mandan, ND · License revocation, suspension, or surrender · Exclusion date Oct 18, 2018
Ann Marie Kalvoda Individual Program Suspension
Mandan, ND · Exclusion or suspension under a federal or state health care program · Exclusion date Sep 20, 2016
Doreen Marie Duttenhefer Individual Revocation
Mandan, ND · License revocation, suspension, or surrender · Exclusion date May 20, 2014
Timothy James Jr Davis Individual Felony Fraud
Mandan, ND · Felony conviction relating to health care fraud · Exclusion date Feb 20, 2013

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

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