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

NPI Status: Active since October 09, 2015

Contact Information

4241 JOHNNY CAKE RIDGE RD
EAGAN, MN
ZIP 55122
Phone: (866) 389-2727

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  • Organization
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • CLIA Number: 24D1041432
  • CLIA Cert. Type: Other - LIMITED SERVICE HEALTH CA
  • CLIA Exp. Date: 06-01-2027

About MINUTECLINIC DIAGNOSTIC OF MINNESOTA, P.A.

This page provides the complete NPI Profile along with additional information for Minuteclinic Diagnostic Of Minnesota, P.a., a provider established in Eagan, Minnesota operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1407227945 assigned on October 2015. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Minuteclinic Diagnostic Of Minnesota, P.a. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Deborah Pincince (Administrator)

NPI
1407227945
Provider Name
MINUTECLINIC DIAGNOSTIC OF MINNESOTA, P.A.
Entity Type
Organization
Location Address
4241 JOHNNY CAKE RIDGE RD EAGAN, MN 55122
Location Phone
(866) 389-2727
Mailing Address
1 CVS DR MC-2995 WOONSOCKET, RI 02895
Mailing Phone
(401) 770-3813
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2015
Last Update Date
02-26-2024
Code Navigator

A nurse practitioner (NP) like Minuteclinic Diagnostic Of Minnesota, P.a. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Clear Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Share - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORAH PINCINCE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(401) 770-3813

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D1041432
Facility Type
Other - LIMITED SERVICE HEALTH CA
Certificate Effective Date
June 02, 2025
Certificate Expiration Date
June 01, 2027
Laboratory Director
JOSEPH LEVEILLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Minuteclinic Diagnostic Of Minnesota, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MINUTECLINIC DIAGNOSTIC OF MINNESOTA, P.A.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407227945, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 4 + 2 + 1 + 4 + 9 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1407227945.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Pharmacist
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Pharmacy (Community/Retail Pharmacy)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Pharmacy
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Pharmacist
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Social Worker (Clinical)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Physician Assistant
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Nurse Practitioner (Family)
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122
Physician Assistant
4241 JOHNNY CAKE RIDGE RD
EAGAN, MN 55122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407227945, enumerated as an "organization" on October 09, 2015.

The provider is located at 4241 JOHNNY CAKE RIDGE RD EAGAN, MN 55122 and the phone number is (866) 389-2727.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.