Alexa Tomissa Grande, PA
NPI 1417524745ActiveIndividual· Physician Assistant· North Providence, RI
Physician Assistant (PA) in North Providence, Rhode Island, licensed in RI, with an NPI issued in June 2021. 139 Medicare patients in 2024, $14,488 paid; nearly all of their 188 Part D prescriptions were generic (96%).
Overview
| NPI | 1417524745 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 7, 2021 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA01318 | RI |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 139 |
|---|---|
| Services billed | 149 across 9 procedure codes |
| Paid by Medicare | $14,488 |
Part D prescriptions in 2024
| Prescriptions (claims) | 188 · 189 30-day fills |
|---|---|
| Patients | 144 |
| Total drug cost | $1,716 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in North Providence
- 1861997876
- 1982960696
- 1972081966
- 1164481537
- 1023083029
- 1659346104
- 1265286025
- 1770998692
- 1992600134