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

Q: 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.

Q: What is Donna Degracia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donna Degracia was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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

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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

Phone(763) 780-9155

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

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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.

BLYTHE ELLEN NELSON LICSW

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