Minuteclinic Primary Care Minnesota PLLC
NPI 1104632801 · Family Nurse Practitioner · Eagan, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Minuteclinic Primary Care Minnesota PLLC is a Family Nurse Practitioner organization in Eagan, MN (NPI 1104632801).
Provider details
- NPI number
- 1104632801
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Primary Care PLLC
- Organization subpart
- Yes
- Authorized official
- Deborah Pincince, Administrator(866) 389-2727
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-06
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Frequently asked questions
- What is Minuteclinic Primary Care Minnesota PLLC's NPI number?
- Minuteclinic Primary Care Minnesota PLLC's National Provider Identifier (NPI) is 1104632801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minuteclinic Primary Care Minnesota PLLC?
- Minuteclinic Primary Care Minnesota PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Minuteclinic Primary Care Minnesota PLLC located?
- Minuteclinic Primary Care Minnesota PLLC's practice location on file with NPPES is 4241 Johnny Cake Ridge Rd, Eagan, MN 55122-2235.
- What is Minuteclinic Primary Care Minnesota PLLC's phone number?
- The practice phone number listed in the NPPES registry for Minuteclinic Primary Care Minnesota PLLC is (866) 389-2727.
- Does Minuteclinic Primary Care Minnesota PLLC accept Medicare?
- Minuteclinic Primary Care Minnesota PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Minuteclinic Primary Care Minnesota PLLC?
- The authorized official listed on Minuteclinic Primary Care Minnesota PLLC's NPPES record is Deborah Pincince, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minuteclinic Primary Care Minnesota PLLC's NPI active?
- Yes — Minuteclinic Primary Care Minnesota PLLC's NPI (1104632801) is active in the NPPES registry as of the last update on 2026-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.