Minuteclinic Primary Care Minnesota PLLC
NPI 1104632801ActiveOrganization· Nurse Practitioner, Family· Eagan, MN
Nurse Practitioner, Family in Eagan, Minnesota, registered in NPPES in December 2024, part of Primary Care PLLC. The authorized official on file is Deborah Pincince, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104632801 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Primary Care PLLC |
| NPI issued | Dec 6, 2024 |
| Last updated in NPPES | Mar 24, 2026 |
| Certified by provider | Mar 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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