Active NPI
Korrin Einertson, PA-C
- Physician Assistant
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2021041375
- Practice address
- 100 S 4TH St Ste 550
Saint Louis, MO 63102-1897 - Phone
- (919) 391-7202
- NPI assigned
- Jun 2, 2021
- Last updated
- May 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2021041375 | MO | Primary |
Addresses
Primary practice location
100 S 4TH St Ste 550
Saint Louis, MO 63102-1897
Mailing address
5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
Phone (919) 391-7202
Other practice location 1
2741 Campus Walk Ave Ste 200
Durham, NC 27705-8878
Phone (919) 391-7202
Other practice location 2
5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
Phone (919) 391-7202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
505 Wellingham Dr
Durham, NC 27713-7501
5501 Fortunes Ridge Dr
Suite P
Durham, NC 27713-6102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Animo Sano Psychiatry PLLC | Current | Accepting new patients |
Locations
100 S 4th St
Ofc 552
Saint Louis, MO 63102
100 S 4th St
Ste 550
Saint Louis, MO 63102
Phone (314) 391-2626
2741 Campus Walk Ave
Bldg 400
Durham, NC 27705
Phone (919) 973-4617
5501 Fortunes Ridge Dr
Ste P
Durham, NC 27713
Phone 9193917202908
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Chesterfield, MO
- NPI 1881808483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1710553540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 FORTUNES RIDGE DR STE P",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136102",
"telephone_number": "919-391-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S 4TH ST STE 550",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631021897",
"telephone_number": "919-391-7202"
}
],
"practiceLocations": [
{
"address_1": "2741 Campus Walk Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277058878",
"country_code": "US",
"telephone_number": "919-391-7202",
"fax_number": "919-391-7203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 Fortunes Ridge Dr Ste P",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277136102",
"country_code": "US",
"telephone_number": "919-391-7202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EINERTSON",
"first_name": "KORRIN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2021041375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.