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MINUTECLINIC PRIMARY CARE MINNESOTA PLLC
NPI 1104632801
Nurse Practitioner - Family in Eagan, MN

Active since December 06, 2024
4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 55122(866) 389-2727 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Mar 19, 2026, Dec 17, 2025 and 2 more (5 updates tracked since 2024).

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

NPI1104632801
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMINUTECLINIC PRIMARY CARE MINNESOTA PLLC
Location Address4241 JOHNNY CAKE RIDGE RDEagan, MN 55122-2235
Mailing AddressPo Box 772Woonsocket, RI 02895-0784
Phone(866) 389-2727
Organization SubpartYesParent: Primary Care Pllc
Authorized OfficialDeborah PincinceAdministrator · (866) 389-2727
Enumeration DateDecember 6, 2024
Last NPPES UpdateMarch 24, 20265 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1104632801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedPhysician AssistantTaxonomy 363A00000X
4241 JOHNNY CAKE RIDGE RD, Eagan, MN 55122
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA HOOPER PA-C
Physician Assistant
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (612) 819-6886
DR. REBECCA J LAING PHARMD
Pharmacy (Community/Retail Pharmacy)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (651) 688-7041
GRAND ST PAUL CVS LLC
Pharmacy
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (651) 688-7041
MS. ABBY ROSE ROTH NP-C
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (866) 389-2727
YEUN HEE YANG
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (651) 688-7041
MARIAM MARZOUK SOLE
Pharmacist
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (651) 688-7041
LATRICE BROWN-CHITOU CNP
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (732) 451-4318
MINUTECLINIC DIAGNOSTIC OF MINNESOTA, P.A.
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (866) 389-2727

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.

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 4 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.