Minuteclinic Primary Care Minnesota PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MINUTECLINIC PRIMARY CARE MINNESOTA PLLC

Practice address

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235

Phone

(866) 389-2727

NPI assigned

Dec 6, 2024

Organization subpart

Yes

Parent organization

PRIMARY CARE PLLCAs reported in NPPES

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

Authorized official

Name

Deborah Pincince

Title

Administrator

Phone

(866) 389-2727

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Primary Care PLLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Primary Care PLLC

  • Family Nurse Practitioner
  • Spring, TX
  • NPI 1770354763

  Member Of

  NPD member

Locations

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faiso Abdulle, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Bloomington, MN
  • NPI 1184921264
  Medicare reassignment Care Compare group NPD
• Nkeiruka Sylvia Anyiam

  • Family Nurse Practitioner
  • Andover, MN
  • NPI 1427425750
  Medicare reassignment Care Compare group NPD
• Tegist Ayalew, FNP

  • Family Nurse Practitioner
  • Roseville, MN
  • NPI 1972991354
  Medicare reassignment Care Compare group NPD
• Morgan Brummit, APRN

  • Family Nurse Practitioner
  • Otsego, MN
  • NPI 1053104380
  Medicare reassignment Care Compare group NPD
• Ashley Noel Childers, CNP

  • Family Nurse Practitioner
  • Bloomington, MN
  • NPI 1407563463
  Medicare reassignment Care Compare group NPD
• Tenzin Chozom

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1710642608
  Medicare reassignment Care Compare group NPD
• Dervie Crespo, NP

  • Family Nurse Practitioner
  • Edina, MN
  • NPI 1124288691
  Medicare reassignment Care Compare group NPD
• Elicia Faith Dembele, NP

  • Family Nurse Practitioner
  • Edina, MN
  • NPI 1669278453
  Medicare reassignment Care Compare group NPD
• Jacquelyn Lee Denardo, NP-C

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1598107237
  Medicare reassignment Care Compare group NPD
• Donald Michael Dunow, MSN FNP-C CNP APRN

  • Family Nurse Practitioner
  • Bloomington, MN
  • NPI 1013047463
  Medicare reassignment Care Compare group NPD
• Chelsi Sayword Esqueda, DNP

  • Family Nurse Practitioner
  • Apple Valley, MN
  • NPI 1972319424
  Medicare reassignment Care Compare group NPD
• Christina Fjeld, NP

  • Family Nurse Practitioner
  • Saint Michael, MN
  • NPI 1407365745
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1104632801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 JOHNNY CAKE RIDGE RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222235",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTECLINIC PRIMARY CARE MINNESOTA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE PLLC",
        "enumeration_date": "2024-12-06",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "866-389-2727"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Minnick
• Jacob Thomas Minnig, MA, LPCC, LADC
• Minuteclinic Diagnostic of Minnesota, P.a.
• Minuteclinic Diagnostic of Minnesota, P.a.
• Minuteclinic Diagnostic of Minnesota, P.a.
• Laverne Mitchell Pusey, ARNP
• John David Mittelsteadt, D.D.S.
• William Miyoshi, OD
• MJ Counseling, LLC
• MN Health LLC

• Family Nurse Practitioner in Eagan, MN
• Providers in Eagan, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.