EXCLUDEDPROVIDER
Individual Revocation

Jennifer M Stall

Chatham, NY 12037

Public HHS-OIG LEIE exclusion record

Jennifer M Stall of Chatham, NY is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1205138419 with a primary specialty of Physician Assistant. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Jennifer M Stall is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of September 20, 2012.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Chatham, NY 12037
Exclusion date
September 20, 2012
Exclusion type
Revocation (1128b4)
NPI
1205138419

Record summary

Jennifer M Stall appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Chatham, 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 September 20, 2012, 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 dateSeptember 20, 2012
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1205138419
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 Chatham, NY 12037. 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 1205138419. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Physician Assistant (363A00000X). Registered practice location: West Coxsackie, NY. NPI enumeration date: Nov 19, 2010. NPPES status: Active. The NPI Registry lists credential: PA-C.

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 Chatham, NY

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

Cindee L Piccola Individual Revocation
Chatham, NY · License revocation, suspension, or surrender · Excluded Sep 1998

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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