EXCLUDEDPROVIDER
Individual Revocation

Samantha Jo Henley

Mandan, ND 58554

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Samantha Jo Henley of Mandan, ND is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of July 18, 2019.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Mandan, ND 58554
Exclusion date
July 18, 2019
Exclusion type
Revocation (1128b4)
Source dataset
May 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 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 July 18, 2019, 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 dateJuly 18, 2019
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 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 currently listed in the HHS-OIG LEIE public dataset with a Mandan, ND address.

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

Verify with HHS-OIG Remove / correct this record

Related

More Excluded Individuals in North Dakota More Records in Mandan More Revocation Records