Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corrie Donnell, PA

Individual provider Registered Dietitian · NPI 1619351012

Corrie Donnell, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with Mercy Clinic Nephrology, LLC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

621 S New Ballas Rd Ste 437A
Saint Louis, MO 63141-8259
Phone: (314) 251-6344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 615 S New Ballas Rd, Saint Louis, MO 63141-8221 — (314) 251-0175

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2022032641 (MO)
Registered Dietitian Taxonomy 133V00000X · Licence 2014031793 (MO)

Record details

NPI number1619351012
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 15, 2015
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mercy Clinic Nephrology, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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