Tiffany J. Gramblin, ARNP
NPI 1760849343ActiveIndividual· Nurse Practitioner, Family· Ackley, IA
Nurse Practitioner, Family (ARNP) with Ellsworth Municipal Hospital, practicing in Ackley, Iowa. Their prescriptions cost Medicare Part D more than their services did: $611,384 for 6,468 claims, against $4,324 paid for services in 2024. Abbvie Inc. was the largest of 13 companies reporting payments in 2025, $473.56 in all, mostly food and beverage. Lists Allen Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1760849343 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Jan 27, 2016 |
| Last updated in NPPES | Oct 14, 2020 |
| Certified by provider | Oct 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | A115619 | IA |
| Nurse Practitioner, Family | 363LF0000X | A115819 | IA |
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 - Nurse Practitioner (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 67 across 14 procedure codes |
| Paid by Medicare | $4,324 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,468 · 11,350 30-day fills |
|---|---|
| Patients | 417 |
| Total drug cost | $611,384 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Ellsworth Municipal HospitalZearing, IA · 15 clinicians
Hospital affiliations
- Allen HospitalWaterloo, IA
- Franklin General HospitalHampton, IA
- Grundy County Memorial HospitalGrundy Center, IA
- Hansen Family HospitalIowa Falls, IA
Other facilities
- The Village of AckleyNursing home · Ackley, IA
Industry payments (Open Payments)
- 2025$473.56 · 25 payments from 13 companies
- 2024$338.95 · 17 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $80.58 | 4 |
| Otsuka America Pharmaceutical, Inc. | $71.97 | 3 |
| Astrazeneca Pharmaceuticals LP | $69.79 | 4 |
| Lilly USA, LLC | $61.54 | 4 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $46.95 | 2 |
What the 2025 payments were for
- Food and Beverage$449.56 · 24 payments
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$24.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Ackley
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- 1922395607