Minuteclinic Diagnostic Of Minnesota, P.a. | |
4241 Johnny Cake Ridge Rd Eagan MN 55122-2235 | |
(866) 389-2727 | |
Not Available |
Full Name | Minuteclinic Diagnostic Of Minnesota, P.a. |
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Speciality | Nurse Practitioner |
Location | 4241 Johnny Cake Ridge Rd, Eagan, Minnesota |
Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
Authorized Official Contact | 4017703813 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Minuteclinic Diagnostic Of Minnesota, P.a. 1 Cvs Dr Mc-2995 Woonsocket RI 02895-6146 Ph: (401) 770-3813 | Minuteclinic Diagnostic Of Minnesota, P.a. 4241 Johnny Cake Ridge Rd Eagan MN 55122-2235 Ph: (866) 389-2727 |
NPI Number | 1407227945 |
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Provider Enumeration Date | 10/09/2015 |
Last Update Date | 02/26/2024 |
Certification Date | 02/26/2024 |
Medicare PECOS PAC ID | 7810289949 |
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Medicare Enrollment ID | O20160712000184 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407227945 | NPI | - | NPPES |
Provider Name | Ann M Riewer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376550467 PECOS PAC ID: 3577466739 Enrollment ID: I20040127001036 |
Provider Name | Amy J Rolfzen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336134626 PECOS PAC ID: 6204864994 Enrollment ID: I20050803000385 |
Provider Name | Maurita S Lehman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699903070 PECOS PAC ID: 8628116985 Enrollment ID: I20091109000032 |
Provider Name | Kimberly R Kopitzke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801122379 PECOS PAC ID: 5294877478 Enrollment ID: I20100126000854 |
Provider Name | Elizabeth K Rose |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336459205 PECOS PAC ID: 4688858434 Enrollment ID: I20110404000109 |
Provider Name | Jacqueline M Lohonen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710233036 PECOS PAC ID: 7911158688 Enrollment ID: I20121107000209 |
Provider Name | Wendy S Cregg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356698153 PECOS PAC ID: 6507017894 Enrollment ID: I20121114000431 |
Provider Name | Jacquelyn L Denardo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598107237 PECOS PAC ID: 7911141767 Enrollment ID: I20130917000234 |
Provider Name | Kevin J Curtis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023433075 PECOS PAC ID: 6507089737 Enrollment ID: I20140515001878 |
Provider Name | Tracy R Mueller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093122012 PECOS PAC ID: 6800015207 Enrollment ID: I20140917001760 |
Provider Name | Elizabeth F Severance |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700290319 PECOS PAC ID: 7810211877 Enrollment ID: I20150121002193 |
Provider Name | Nkeiruka Sylvia Anyiam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427425750 PECOS PAC ID: 4486959236 Enrollment ID: I20160216002668 |
Provider Name | Anne M Remington |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477928943 PECOS PAC ID: 1658662861 Enrollment ID: I20160620000211 |
Provider Name | Alexandra S Snell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720490535 PECOS PAC ID: 7315169356 Enrollment ID: I20160830001969 |
Provider Name | Norman B Mekkelsen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619329687 PECOS PAC ID: 0648566182 Enrollment ID: I20160908001998 |
Provider Name | Kristin C Hangge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659569184 PECOS PAC ID: 4688750862 Enrollment ID: I20170607000303 |
Provider Name | Christina L Fjeld |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407365745 PECOS PAC ID: 6002173101 Enrollment ID: I20171128001302 |
Provider Name | Feng Guo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649782012 PECOS PAC ID: 3375801152 Enrollment ID: I20171228000346 |
Provider Name | Jennifer Hibbard-kaidi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588077317 PECOS PAC ID: 3971729088 Enrollment ID: I20180228001052 |
Provider Name | Selase Agudu-morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891278693 PECOS PAC ID: 1951646397 Enrollment ID: I20181213000754 |
Provider Name | Amber Lee Pearson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457951238 PECOS PAC ID: 8729492707 Enrollment ID: I20210203000497 |
Provider Name | Binh C Truong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306429857 PECOS PAC ID: 5890198303 Enrollment ID: I20210721002631 |
Provider Name | Tenzin Chozom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710642608 PECOS PAC ID: 7214328426 Enrollment ID: I20211223000752 |
Provider Name | Yeun Hee Yang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144973538 PECOS PAC ID: 5395123087 Enrollment ID: I20220608002925 |
Provider Name | Elizabeth Takyi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871248328 PECOS PAC ID: 1052790821 Enrollment ID: I20220624001391 |
Provider Name | Sharon Ross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942526736 PECOS PAC ID: 9638202377 Enrollment ID: I20220917000532 |
Provider Name | Karen Fernandez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669883112 PECOS PAC ID: 3779700737 Enrollment ID: I20220919003010 |
Provider Name | Sheena Ching-larson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104358381 PECOS PAC ID: 1759668247 Enrollment ID: I20220922001135 |
Provider Name | Marybeth Mccarthy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619100161 PECOS PAC ID: 9830238989 Enrollment ID: I20221013001831 |
Provider Name | Sadiya Abdirahman Esse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619587193 PECOS PAC ID: 8527434679 Enrollment ID: I20221014002219 |
Provider Name | Sarah Kuenzel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699497974 PECOS PAC ID: 3173990157 Enrollment ID: I20221103002006 |
Provider Name | April Griffin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760051205 PECOS PAC ID: 5890191951 Enrollment ID: I20230103000247 |
Provider Name | Ashley Childers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407563463 PECOS PAC ID: 5193196897 Enrollment ID: I20230117000495 |
Provider Name | Krista Keeler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376080390 PECOS PAC ID: 8527343540 Enrollment ID: I20230207001652 |
Provider Name | Mai Nou Thao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598151367 PECOS PAC ID: 5092189720 Enrollment ID: I20230322000176 |
Provider Name | Sarah Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205446077 PECOS PAC ID: 8628434255 Enrollment ID: I20230523003131 |
Provider Name | Kelli Evans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508348590 PECOS PAC ID: 4082966395 Enrollment ID: I20230721002811 |
Provider Name | Bethany Mistone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477094936 PECOS PAC ID: 1658657317 Enrollment ID: I20230804000495 |
Provider Name | Chloe Vanlannen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801574116 PECOS PAC ID: 9234592619 Enrollment ID: I20230901000691 |
Provider Name | Rachael O'meara |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417732983 PECOS PAC ID: 2264888106 Enrollment ID: I20231027002616 |
Provider Name | Ashley Huber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437933850 PECOS PAC ID: 0244686855 Enrollment ID: I20231101003392 |
Provider Name | Vi Siiro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730960246 PECOS PAC ID: 5193172997 Enrollment ID: I20231116001551 |
Provider Name | Lora Meadows |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205614211 PECOS PAC ID: 5092162891 Enrollment ID: I20231116001623 |
Provider Name | Yasmin M Jemal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396137261 PECOS PAC ID: 7315256245 Enrollment ID: I20231212003326 |
Provider Name | Keona Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033647144 PECOS PAC ID: 8527326982 Enrollment ID: I20240315000096 |
Provider Name | Mayowa Okuneye |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598540700 PECOS PAC ID: 2769820901 Enrollment ID: I20240405002883 |
Provider Name | Odette Allen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164949038 PECOS PAC ID: 6901274893 Enrollment ID: I20240408001046 |
Provider Name | Thomas Godfrey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700172624 PECOS PAC ID: 0042625543 Enrollment ID: I20240412001444 |
Provider Name | Helen Hong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386255248 PECOS PAC ID: 2365824059 Enrollment ID: I20240425003288 |
Provider Name | Morgan Rowell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942853775 PECOS PAC ID: 2769712348 Enrollment ID: I20240507003641 |
Provider Name | Catherine Flanagan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255757969 PECOS PAC ID: 4981837986 Enrollment ID: I20240716001067 |
Provider Name | Tracy Canonizado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447858139 PECOS PAC ID: 7517370372 Enrollment ID: I20240724002745 |
Provider Name | Kirstyn Flint |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982358057 PECOS PAC ID: 6709271406 Enrollment ID: I20240801003466 |
Provider Name | Danielle Cook |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528543618 PECOS PAC ID: 3577800523 Enrollment ID: I20240820001014 |
Provider Name | Crystal Oramadike |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063965978 PECOS PAC ID: 9931538824 Enrollment ID: I20240903000208 |
Provider Name | Natalie Movsessian |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255898417 PECOS PAC ID: 2163758673 Enrollment ID: I20240910000461 |
Provider Name | Tatum Natalie Britton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770312233 PECOS PAC ID: 5890226963 Enrollment ID: I20240930002683 |
Provider Name | Madeline Teixeira |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558038836 PECOS PAC ID: 3072919471 Enrollment ID: I20241001002865 |
Provider Name | Alfreda Shields |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497021810 PECOS PAC ID: 7810145133 Enrollment ID: I20241007002186 |
Provider Name | Jocelyn Diane Chesson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023847100 PECOS PAC ID: 9638601297 Enrollment ID: I20241021002336 |
Provider Name | Adriene Avripas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790296010 PECOS PAC ID: 4385996677 Enrollment ID: I20241022001242 |
Provider Name | Dorianne Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992080139 PECOS PAC ID: 3476720921 Enrollment ID: I20241031002613 |
Provider Name | Ashley King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144634163 PECOS PAC ID: 3971729674 Enrollment ID: I20241108000096 |
Provider Name | Tara Nash |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235957499 PECOS PAC ID: 9537694765 Enrollment ID: I20241126000377 |
Provider Name | Jennifer Shaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952121329 PECOS PAC ID: 6800322280 Enrollment ID: I20241209002473 |
Provider Name | Luvessie Rhonnette Knox |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821682188 PECOS PAC ID: 1355878489 Enrollment ID: I20241231000962 |
Provider Name | Chelsi Sayword Esqueda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972319424 PECOS PAC ID: 3870022320 Enrollment ID: I20250128004305 |
Provider Name | Lenah Khamalishi Ingutia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295543379 PECOS PAC ID: 1153841846 Enrollment ID: I20250225002540 |
Provider Name | Manuela Ziegler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417359472 PECOS PAC ID: 2769790815 Enrollment ID: I20250228001090 |
Provider Name | Blia Vue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184433682 PECOS PAC ID: 4284155664 Enrollment ID: I20250303001757 |
Provider Name | Shatara Coleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801174701 PECOS PAC ID: 0042477168 Enrollment ID: I20250306001544 |
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