DONNA DEGRACIA P.A.
NPI 1629017066
Physician Assistant in Coon Rapids, MN

Active since June 04, 2006
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 780-9155 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2021, Mar 17, 2018, Jul 6, 2017 (3 updates tracked since 2017).

About Donna Degracia P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONNA DEGRACIA P.A. (NPI 1629017066) is an individual physician assistant in Coon Rapids, Minnesota, licensed in Minnesota (9097) and active in the NPI registry since June 2006. She maintains a secondary practice location in Blaine.

NPPES Registry Identity

NPI1629017066
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDONNA DEGRACIACredential: P.A.
Location Address9055 SPRINGBROOK DR NWCoon Rapids, MN 55433-5841
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Enumeration DateJune 4, 2006
Last NPPES UpdateMarch 11, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1629017066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 9097
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 9097 (MN)
9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433

Other Names 1

Former Name (1)Donna Sidwell Pa

Secondary Practice Location 1

Location 110190 Baltimore St NEBlaine, MN 55449-5056 · Phone (763) 795-9363 · Fax (763) 795-9364

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Psychiatry & Neurology (Pain Medicine)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Psychologist (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Audiologist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Physical Therapist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Internal Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Dietitian, Registered
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donna Degracia's NPI number?

The NPI number for Donna Degracia is 1629017066. It was assigned to this individual provider in the NPPES registry on June 4, 2006. The provider is also known as Donna Sidwell PA.

Where is Donna Degracia located?

Donna Degracia practices at 9055 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 780-9155.

What is Donna Degracia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Donna Degracia was last updated on March 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.