MINUTECLINIC PRIMARY CARE MINNESOTA PLLC
NPI 1104632801
Nurse Practitioner - Family in Eagan, MN
About Minuteclinic Primary Care Minnesota Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINUTECLINIC PRIMARY CARE MINNESOTA PLLC (NPI 1104632801) is a healthcare organization registered as a family in Eagan, Minnesota and active in the NPI registry since December 2024. The organization lists Deborah Pincince, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Minuteclinic Primary Care Minnesota Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
56Medicare enrollment records show 56 clinicians reassign Medicare billing to Minuteclinic Primary Care Minnesota PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 56Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Minuteclinic Primary Care Minnesota PLLC's NPI number?
The NPI number for Minuteclinic Primary Care Minnesota PLLC is 1104632801. It was assigned to this organization in the NPPES registry on December 6, 2024.
Where is Minuteclinic Primary Care Minnesota PLLC located?
Minuteclinic Primary Care Minnesota PLLC is located at 4241 Johnny Cake Ridge Rd, Eagan, MN 55122. The listed phone number is (866) 389-2727.
What is Minuteclinic Primary Care Minnesota PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Minuteclinic Primary Care Minnesota PLLC enrolled in Medicare?
Yes. Minuteclinic Primary Care Minnesota PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Minuteclinic Primary Care Minnesota PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Minuteclinic Primary Care Minnesota PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Minuteclinic Primary Care Minnesota PLLC was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Minuteclinic Primary Care Minnesota Pllc · NPI 1104632801
Family organization in Eagan, Minnesota. Organization record, active in the CMS NPPES registry since December 6, 2024.
## Identity
- **NPI:** 1104632801 (Entity type: Organization)
- **Enumerated:** December 6, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** Yes (part of Primary Care Pllc)
- **Authorized official:** Deborah Pincince, ADMINISTRATOR
## Practice location
- **Address:** 4241 JOHNNY CAKE RIDGE RD, Eagan, MN 55122-2235
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 56 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 21 within 10 miles; [full list](https://npiprofile.com/npi/1104632801/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104632801) · Data from the CMS NPPES public registry.