Minuteclinic Diagnostic of Minnesota, P.a.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MINUTECLINIC DIAGNOSTIC OF MINNESOTA, P.A.

Practice address

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235

Phone

(866) 389-2727

NPI assigned

Oct 9, 2015

Last updated

Feb 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Pincince

Title

Administrator

Phone

(401) 770-3813

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• 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
• Tatum Natalie Britton, FNP- C

  • Family Nurse Practitioner
  • Buffalo, MN
  • NPI 1770312233
  Medicare reassignment Care Compare group NPD
• Latrice Brown-Chitou, CNP

  • Family Nurse Practitioner
  • Eagan, MN
  • NPI 1366185209
  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
• Sarah Lynn Clark, FNP

  • Family Nurse Practitioner
  • Shakopee, MN
  • NPI 1205446077
  Medicare reassignment Care Compare group NPD
• Dervie Crespo, NP

  • Family Nurse Practitioner
  • Edina, MN
  • NPI 1124288691
  Medicare reassignment Care Compare group NPD
• Kevin Curtis, NP

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1023433075
  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

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1407227945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "MC-2995",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-770-3813"
        },
        {
            "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 DIAGNOSTIC OF MINNESOTA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Independent Cooperative (Diabetic Care Inc.)
• Minnesota Mental Health Clinics
• Minnesota Mental Health Clinics
• Morgan Minnick
• Jacob Thomas Minnig, MA, LPCC, LADC
• Minuteclinic Diagnostic of Minnesota, P.a.
• Minuteclinic Diagnostic of Minnesota, P.a.
• Minuteclinic Primary Care Minnesota PLLC
• Rayan Mirza
• Laverne Mitchell Pusey, ARNP

• 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 Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.