Alexa Nicole Grzywa, PA-C
NPI 1427396670ActiveIndividual· Physician Assistant· Council Bluffs, IA
Physician Assistant (PA-C) in Council Bluffs, Iowa, trained at University of Nebraska College of Medicine (class of 2012). Part D covered 112 prescriptions written in 2024, 83% of them generic. Heartflow, Inc. was the largest of 5 companies reporting payments in 2025, $135.54 in all, mostly food and beverage.
Overview
| NPI | 1427396670 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 23, 2013 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 073625 | IA |
| Physician Assistant, Medical | 363AM0700X | 1700 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 112 · 118 30-day fills |
|---|---|
| Patients | 39 |
| Total drug cost | $10,601 |
| Generic share | 83% of claims |
Education and affiliations
| Medical school | University of Nebraska College of Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Physician Assistant |
Medical group
- Physicians Clinic IncOmaha, NE · 561 clinicians
Hospital affiliation
- Methodist Jennie EdmundsonCouncil Bluffs, IA
Industry payments (Open Payments)
- 2025$135.54 · 6 payments from 5 companies
- 2024$149.09 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Heartflow, Inc. | $54.70 | 2 |
| Glaxosmithkline, LLC. | $28.72 | 1 |
| Boston Scientific Corporation | $23.25 | 1 |
| Regeneron Healthcare Solutions, Inc. | $22.24 | 1 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $6.63 | 1 |
What the 2025 payments were for
- Food and Beverage$135.54 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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