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MINUTECLINIC DIAGNOSTIC OF MINNESOTA, P.A.
NPI 1407227945
Nurse Practitioner - Family in Eagan, MN

Active since October 09, 2015CLIA 24D1041432 · Waiver
4241 JOHNNY CAKE RIDGE RD, EAGAN, MN 55122(866) 389-2727 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Minuteclinic Diagnostic Of Minnesota, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINUTECLINIC DIAGNOSTIC OF MINNESOTA, P.A. (NPI 1407227945) is a healthcare organization registered as a family in Eagan, Minnesota and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Deborah Pincince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407227945
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMINUTECLINIC DIAGNOSTIC OF MINNESOTA, P.A.
Location Address4241 JOHNNY CAKE RIDGE RDEagan, MN 55122-2235
Mailing Address1 Cvs Dr, Mc-2995Woonsocket, RI 02895-6146 · (401) 770-3813
Phone(866) 389-2727
Organization SubpartNo
Authorized OfficialDeborah PincinceAdministrator · (401) 770-3813
Enumeration DateOctober 9, 2015
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1407227945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPhysician AssistantTaxonomy 363A00000X
4241 JOHNNY CAKE RIDGE RD, Eagan, MN 55122
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1041432

Minuteclinic Diagnostic Of Minnesota, PA · Eagan, MN
Active · expires Jun 1, 2027
CLIA Number24D1041432
Laboratory TypeLimited Service Health Ca
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorJoseph Leveille
Laboratory Phone(651) 688-7041
Laboratory LocationMinuteclinic Diagnostic Of Minnesota, PA4241 Johnny Cake Ridge Rd, Eagan, MN 55122
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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
MINUTECLINIC PRIMARY CARE MINNESOTA PLLC
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Dakota County (866) 389-2727
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

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 Diagnostic Of Minnesota, P.A.'s NPI number?

The NPI number for Minuteclinic Diagnostic Of Minnesota, P.A. is 1407227945. It was assigned to this organization in the NPPES registry on October 9, 2015.

Where is Minuteclinic Diagnostic Of Minnesota, P.A. located?

Minuteclinic Diagnostic Of Minnesota, P.A. is located at 4241 Johnny Cake Ridge Rd, Eagan, MN 55122. The listed phone number is (866) 389-2727.

What is Minuteclinic Diagnostic Of Minnesota, P.A.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Minuteclinic Diagnostic Of Minnesota, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1041432) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Minuteclinic Diagnostic Of Minnesota, P.A. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 4 other insurers list Minuteclinic Diagnostic Of Minnesota, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Minuteclinic Diagnostic Of Minnesota, P.A. was last updated on February 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.