EXCLUDEDPROVIDER
Individual Revocation

Carol Lynn Mickens

Bedford Hills, NY 10507

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Carol Lynn Mickens of Bedford Hills, NY is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of August 20, 2000.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Bedford Hills, NY 10507
Exclusion date
August 20, 2000
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Carol Lynn Mickens appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Bedford Hills, 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, 2000, 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, 2000
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 Bedford Hills, NY 10507. The listed provider category is Nursing Firm. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Bedford Hills, NY

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

Leslie Montgomery Individual Program Crime
Bedford Hills, NY · Conviction of program-related crimes · Excluded Sep 2023
Lydia Lucas Individual Drug Felony
Bedford Hills, NY · Felony conviction relating to controlled substance · Excluded Sep 2019
Kelly Anne Wescott Individual Revocation
Bedford Hills, NY · License revocation, suspension, or surrender · Excluded Oct 2018
Pansy Np Adult Healthcare Serv Entity Controlled Entity
Bedford Hills, NY · Entities controlled by a sanctioned individual · Excluded Apr 2018
Ingrid C Gordon-patterson Individual Drug Felony
Bedford Hills, NY · Felony conviction relating to controlled substance · Excluded Jul 2017
Katia Erika Donnelly Individual Program Crime
Bedford Hills, NY · Conviction of program-related crimes · Excluded Jun 2017
Suzanne Benizio Individual Program Crime
Bedford Hills, NY · Conviction of program-related crimes · Excluded Aug 2014
Penny E Thompson Individual Program Crime
Bedford Hills, NY · Conviction of program-related crimes · Excluded Feb 2014

See all 13 excluded providers in Bedford Hills →

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 New York More Records in Bedford Hills More Revocation Records