EXCLUDEDPROVIDER
Individual Revocation

Jacob Lawrence Klein

Auburn, NY 13021

Public HHS-OIG LEIE exclusion record

Jacob Lawrence Klein of Auburn, NY is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1861865552 with a primary specialty of Physician Assistant. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Jacob Lawrence Klein is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of August 20, 2024.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Auburn, NY 13021
Exclusion date
August 20, 2024
Exclusion type
Revocation (1128b4)
NPI
1861865552

Record summary

Jacob Lawrence Klein appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Auburn, New York. 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 August 20, 2024, 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 dateAugust 20, 2024
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1861865552
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 Auburn, NY 13021. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Physician Assistant.

NPI Registry context

The LEIE record lists NPI 1861865552. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Physician Assistant (363A00000X). Registered practice location: Hudson, NY. NPI enumeration date: Nov 4, 2015. NPPES status: Active. The NPI Registry lists credential: PA.

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.

Other excluded providers in Auburn, NY

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

Ayodeji E Lukula Individual Revocation
Auburn, NY · License revocation, suspension, or surrender · Excluded Jul 2011
Leonard Chester Jr Copes Individual Program Crime
Auburn, NY · Conviction of program-related crimes · Excluded Jan 2008
Shanika N Williams Individual Patient Abuse
Auburn, NY · Conviction relating to patient abuse or neglect · Excluded Sep 2007
Michael J Leonti Individual Revocation
Auburn, NY · License revocation, suspension, or surrender · Excluded Jul 2003
Waqar Ali Farooqi Individual Revocation
Auburn, NY · License revocation, suspension, or surrender · Excluded May 2003
Brian Thomas Burns Individual Revocation
Auburn, NY · License revocation, suspension, or surrender · Excluded Jul 2001
Robert Jemerson Individual Patient Abuse
Auburn, NY · Conviction relating to patient abuse or neglect · Excluded May 1994
Robert B Young Individual Program Crime
Auburn, NY · Conviction of program-related crimes · Excluded Nov 1992

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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