OrganizationActive
Minnesota Dermatology Associates PLLC
NPI 1790616068 · Clinic/Center · Mankato, MN
Minnesota Dermatology Associates PLLC is a Clinic/Center organization in Mankato, MN (NPI 1790616068).
Provider details
- NPI number
- 1790616068
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kaitlyn Borneke, Owner / Managing Member(507) 550-0072
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
125 Saint Andrews Ct
Mankato, MN 56001-8601
Phone: (507) 550-0072
Street-level locationGet directions
Mailing address
125 Saint Andrews Ct
Mankato, MN 56001-8601
Registry dates
- Enumerated
- 2026-05-26
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Minnesota Dermatology Associates PLLC's NPI number?
- Minnesota Dermatology Associates PLLC's National Provider Identifier (NPI) is 1790616068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minnesota Dermatology Associates PLLC?
- Minnesota Dermatology Associates PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Minnesota Dermatology Associates PLLC located?
- Minnesota Dermatology Associates PLLC's practice location on file with NPPES is 125 Saint Andrews Ct, Mankato, MN 56001-8601.
- What is Minnesota Dermatology Associates PLLC's phone number?
- The practice phone number listed in the NPPES registry for Minnesota Dermatology Associates PLLC is (507) 550-0072.
- Who is the authorized official for Minnesota Dermatology Associates PLLC?
- The authorized official listed on Minnesota Dermatology Associates PLLC's NPPES record is Kaitlyn Borneke, Owner / Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minnesota Dermatology Associates PLLC's NPI active?
- Yes — Minnesota Dermatology Associates PLLC's NPI (1790616068) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.