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

Individual provider Physician Assistant · NPI 1447960638

MS. Geraldine Prophete, PA is a Physician Assistant in Creve Coeur, Missouri. Qualified in 2022, 4 years ago. Practices with Mercy ACO Clinical Services Inc, a 138-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
2022
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

11445 Olive Blvd
Creve Coeur, MO 63141-7108
Phone: (314) 428-9543
Fax: (314) 428-9542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • One Hospital Dr, Columbia, MO 65212-0001 — (573) 882-8091

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2023008006 (MO)

Record details

NPI number1447960638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 29, 2022
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 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 Aco Clinical Services Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Creve Coeur