Minnesota Dermatology Associates PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MINNESOTA DERMATOLOGY ASSOCIATES PLLC

Practice address

125 Saint Andrews CT
Mankato, MN 56001-8601

Phone

(507) 550-0072

NPI assigned

May 26, 2026

Organization subpart

No

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

Authorized official

Name

Kaitlyn Borneke, PA-CNPI 1003678533

Title

Owner / Managing Member

Phone

(507) 550-0072

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kaitlyn Borneke, PA

  • Physician Assistant
  • Mankato, MN
  • NPI 1003678533
  NPD Authorized official

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1790616068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SAINT ANDREWS CT",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018601",
            "telephone_number": "507-550-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SAINT ANDREWS CT",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018601",
            "telephone_number": "507-550-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA DERMATOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "BORNEKE",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "507-550-0072",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Miller, DPT
• Shayna Terese Miller, SLP
• Helaine Marie Mills, DO
• Mind Body Spirit Center
• Minneapolis Vamc
• Minnesota Language Services
• Minnesota River Area Agency on Aging, Inc
• Minnesota River Area Agency on Aging, Inc.
• Minnesota State College and Universities
• Minnesota State Colleges and Universities (Minnesota State University, Mankato)

• Clinic/Center in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.