Minuteclinic Diagnostic of Minnesota, P.A.
NPI 1407227945ActiveOrganization· Nurse Practitioner, Family· Eagan, MN
Nurse Practitioner, Family in Eagan, Minnesota, registered in NPPES in October 2015. The authorized official on file is Deborah Pincince, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407227945 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2015 |
| Last updated in NPPES | Feb 26, 2024 |
| Certified by provider | Feb 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| 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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