DONNA DEGRACIA (P.A.) – Physician Assistant, NPI 1629017066

Physician Assistant

DONNA DEGRACIA (P.A.) is a healthcare provider. based in Blaine, Minnesota. specializing in Physician Assistant. They hold the professional credentials P.A.. They hold a License No. 9097 (MN). The NPI Number for DONNA DEGRACIA (P.A.) is 1629017066

Main info

Female

49 Years Of Experience

Accepts Medicare Assignment

Name

DONNA DEGRACIA (P.A.)

NPI

1629017066

Phone

(763) 795-9363

Address

10190 Baltimore St NE

Enumeration Date

4 June 2006

Last Update Date

11 March 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6512419400

Graduation Year

1977 (49 years ago)

PAC ID

8325004062

Group Practice PAC ID

4587573613

Professional Enrollment ID

I20041206000050

Contacts

Secure Messaging

ddegracia161789@excellian.direct.allina.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience69

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for DONNA DEGRACIA (P.A.)

10190 Baltimore St NE
Blaine, MN 554495056
Phone: (763) 795-9363
Fax: (763) 795-9364
Type: Location
Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States
MINNEAPOLIS, MN 554071321
Phone: (612) 262-5000
Type: Mailing
9055, Springbrook Drive Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55433, United States
COON RAPIDS, MN 554335841
Phone: (763) 780-9155
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4587573613View full group profile

Name	Specialty	State
DR. JOHN PAUL BERGER (D.O.)	Pulmonary Disease	CO
DR. JULIA BRADEN REITZ (AU.D.)	Qualified Audiologist	MN
EMILY FUNK (M.D.)	Family Practice	MN
EFRAT EICHENBAUM (LP, PHD)	-	MN
DR. DAVID SHRAKE (D.O.)	Family Practice	MN
SADIE MARIE NELSON (APRN, CNP)	Nurse Practitioner	ND
JEFFREY C. MANLOVE (M.D.)	-	MN
DR. ROBIN D MCALLISTER (MD)	-	MN
Unknown Individual	-	MN
LOIS A KUBITSCHEK (GNP)	-	MN

Reviews

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Frequently asked questions

Where can patients find DONNA DEGRACIA (P.A.)'s NPI?

You can confirm DONNA DEGRACIA (P.A.) with NPI 1629017066; it appears in the national provider directory.

Is DONNA DEGRACIA (P.A.)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

Can you summarize DONNA DEGRACIA (P.A.)'s specialty in plain language?

Clinically, the directory lists DONNA DEGRACIA (P.A.) with Physician Assistant. Clinical services aligned with this taxonomy classification.

Where does public data place DONNA DEGRACIA (P.A.)?

The snapshot lists Blaine, Minnesota for DONNA DEGRACIA (P.A.); download NPPES for the complete set.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.

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