EXCLUDEDPROVIDER
Individual Revocation

Nicole A Devries

Oconomowoc, WI 53066

Public HHS-OIG LEIE exclusion record

Nicole A Devries of Oconomowoc, WI is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1346480803 with a primary specialty of Licensed Practical Nurse. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Nicole A Devries is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of February 20, 2018.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Oconomowoc, WI 53066
Exclusion date
February 20, 2018
Exclusion type
Revocation (1128b4)
NPI
1346480803

Record summary

Nicole A Devries appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Oconomowoc, Wisconsin. 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 February 20, 2018, 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 dateFebruary 20, 2018
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1346480803
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 Oconomowoc, WI 53066. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

NPI Registry context

The LEIE record lists NPI 1346480803. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Licensed Practical Nurse (164W00000X). Registered practice location: Beaver Dam, WI. NPI enumeration date: Feb 24, 2009. NPPES status: Active. The NPI Registry lists credential: LPN.

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 Oconomowoc, WI

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

Stepanie Evans Individual Patient Abuse
Oconomowoc, WI · Conviction relating to patient abuse or neglect · Excluded May 2003
James D Miller Individual Patient Abuse
Oconomowoc, WI · Conviction relating to patient abuse or neglect · Excluded Apr 2001

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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