EXCLUDEDPROVIDER
Individual Revocation

Kelly A O'connor

Green Bay, WI 54311

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Kelly A O'connor of Green Bay, WI is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of January 20, 2004.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Green Bay, WI 54311
Exclusion date
January 20, 2004
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Kelly A O'connor appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Green Bay, 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 January 20, 2004, 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 dateJanuary 20, 2004
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 Green Bay, WI 54311. The listed provider category is Skilled Nursing Facility. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Green Bay, WI

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

Amber Lynn Lewis Individual Revocation
Green Bay, WI · License revocation, suspension, or surrender · Excluded Sep 2024
Kara D Seibert Individual Patient Abuse
Green Bay, WI · Conviction relating to patient abuse or neglect · Excluded Jan 2024
Angela Dawn Ramos Individual Revocation
Green Bay, WI · License revocation, suspension, or surrender · Excluded Jan 2023
Janelle F Biegert Individual Patient Abuse
Green Bay, WI · Conviction relating to patient abuse or neglect · Excluded Dec 2020
Shawna J Ruff Individual Revocation
Green Bay, WI · License revocation, suspension, or surrender · Excluded Aug 2016
Paul David Demske Individual Revocation
Green Bay, WI · License revocation, suspension, or surrender · Excluded Jun 2015
Carnardo Demmond Johnson Individual Patient Abuse
Green Bay, WI · Conviction relating to patient abuse or neglect · Excluded Apr 2015
Jennifer Lynn Reuter Individual Felony Fraud
Green Bay, WI · Felony conviction relating to health care fraud · Excluded Mar 2012

See all 21 excluded providers in Green Bay →

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 Wisconsin More Records in Green Bay More Revocation Records