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: October 25, 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
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

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

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 Diagnostic Of Minnesota, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

89

Medicare enrollment records show 89 clinicians reassign Medicare billing to Minuteclinic Diagnostic Of Minnesota, P.A., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner85
Clinical Social Worker3
Mental Health Counselor1

Nearest to this location (20)

See all 89
Nurse Practitioner
NPI 1366185209
4241 JOHNNY CAKE RIDGE RD
Eagan, MN 55122
(732) 451-4318
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801574116
4241 JOHNNY CAKE RIDGE RD
Eagan, MN 55122
(877) 993-4321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144973538
4241 JOHNNY CAKE RIDGE RD
Eagan, MN 55122
(651) 688-7041
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972319424
15051 GALAXIE AVE
Apple Valley, MN 55124
(952) 432-3535
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1457951238
15051 GALAXIE AVE
Apple Valley, MN 55124
(952) 432-3535
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1306429857
15051 GALAXIE AVE
Apple Valley, MN 55124
(866) 389-2727
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1407563463
8936 LYNDALE AVE S # 3060
Bloomington, MN 55420
(952) 881-0163
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1184921264
8936 LYNDALE AVE S
Bloomington, MN 55420
(952) 881-0163
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1013047463
8936 LYNDALE AVE S
Bloomington, MN 55420
(866) 389-2727
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1730960246
6445 RICHFIELD PKWY
Richfield, MN 55423
(866) 389-2727
✔ PECOS✔ Accepts Medicare6.5 mi
Nurse Practitioner
NPI 1619525987
4727 HIAWATHA AVE
Minneapolis, MN 55406
(999) 999-9999
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1669278453
6905 YORK AVE S
Edina, MN 55435
(651) 707-5536
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1801122379
6905 YORK AVE S
Edina, MN 55435
(952) 920-0126
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1871248328
6905 YORK AVE S
Edina, MN 55435
(952) 920-0126
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1124288691
6905 YORK AVE S
Edina, MN 55435
(866) 389-2727
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1215859863
6905 YORK AVENE SOUTH
Edina, MN 55435
(866) 389-2727
✔ PECOS8.4 mi
Nurse Practitioner
NPI 1013892652
6905 YORK AVE S
Edina, MN 55435
(952) 920-0126
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1891278693
19685 PILOT KNOB RD
Farmington, MN 55024
(651) 602-7500
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1790559722
1040 GRAND AVE
Saint Paul, MN 55105
(866) 389-2727
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1417732983
1040 GRAND AVE
Saint Paul, MN 55105
(866) 389-2727
✔ PECOS✔ Accepts Medicare9.6 mi
See all 89 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Minuteclinic Diagnostic Of Minnesota, P.A. enrolled in Medicare?

Yes. Minuteclinic Diagnostic Of Minnesota, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Minuteclinic Diagnostic Of Minnesota, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 3 Medicare specialties reassign their Medicare billing to Minuteclinic Diagnostic Of Minnesota, P.A.. 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. The largest specialties are Nurse Practitioner (85), Clinical Social Worker (3) and Mental Health Counselor (1). Of these, 3 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Meridian and Ambetter from NH Healthy Families and 2 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.