Individual provider Active NPI

Robin Michelle Donaldson, NP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1073106191
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2020035581 Issued in MO
Practice address
11155 Dunn Rd Ste 201N
Saint Louis, MO 63136-6149
Phone
(314) 741-1400
Fax
(314) 741-0175
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2020035581 MO Primary

Addresses

Primary practice location

11155 Dunn Rd Ste 201N
Saint Louis, MO 63136-6149

Mailing address

11155 Dunn Rd Ste 201N
Saint Louis, MO 63136-6149
Phone (314) 741-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317000675 MO Practitioner - Nurse Practitioner 0941616981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Hospice GSL LLCGroup PAC ID 6406037274, 8 clinicians

Practice addresses (Care Compare)

6406 Wise Ave
Saint Louis, MO 63139-3315
Phone (314) 645-8648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Hospice GSL, LLC CurrentSince Jul 25, 2023 Accepting new patients
Rick Hummel MD PC CurrentSince Feb 23, 2021 Accepting new patients

Locations

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

6406 Wise Ave
Saint Louis, MO 63139
Phone (314) 636-4891

11155 Dunn Rd
Ste 201N
Saint Louis, MO 63136
Phone (314) 741-1400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1073106191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD STE 201N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366149",
            "telephone_number": "314-741-1400",
            "fax_number": "314-741-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD STE 201N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366149",
            "telephone_number": "314-741-1400",
            "fax_number": "314-741-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "ROBIN",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2020035581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.