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MINNESOTA DERMATOLOGY ASSOCIATES PLLC
NPI 1790616068
Clinic/Center in Mankato, MN

Active since May 26, 2026
125 SAINT ANDREWS CT, MANKATO, MN 56001(507) 550-0072 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 1, 2026, May 26, 2026 (2 updates tracked since 2026).

About Minnesota Dermatology Associates Pllc NPPES

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

MINNESOTA DERMATOLOGY ASSOCIATES PLLC (NPI 1790616068) is a healthcare organization registered as a clinic/center in Mankato, Minnesota and active in the NPI registry since May 2026. The organization lists Kaitlyn Borneke, Owner / Managing Member, as its authorized official.

NPPES Registry Identity

NPI1790616068
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMINNESOTA DERMATOLOGY ASSOCIATES PLLC
Location Address125 SAINT ANDREWS CTMankato, MN 56001-8601
Mailing Address125 Saint Andrews CtMankato, MN 56001-8601 · (507) 550-0072
Phone(507) 550-0072
Organization SubpartNo
Authorized OfficialKaitlyn BornekeOwner / Managing Member · (507) 550-0072
Enumeration DateMay 26, 2026
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1790616068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
125 SAINT ANDREWS CT, Mankato, MN 56001
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Other Providers at the Same Location NPPES

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

SARA MICHELLE MENNEN MS, LMFT
Marriage & Family Therapist
125 SAINT ANDREWS CT
MANKATO, MN 56001
Blue Earth County (507) 933-0390

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 Minnesota Dermatology Associates PLLC's NPI number?

The NPI number for Minnesota Dermatology Associates PLLC is 1790616068. It was assigned to this organization in the NPPES registry on May 26, 2026.

Where is Minnesota Dermatology Associates PLLC located?

Minnesota Dermatology Associates PLLC is located at 125 Saint Andrews Ct, Mankato, MN 56001. The listed phone number is (507) 550-0072.

What is Minnesota Dermatology Associates PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Minnesota Dermatology Associates PLLC was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.