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DR. DERREK JOHNSON D.C.
NPI 1043393838
Chiropractor in Nisswa, MN

Active since October 23, 2006Accepts Medicare Assignment
5482 COUNTY ROAD 18, NISSWA, MN 56468(218) 963-3311(218) 963-3313 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Derrek Johnson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DERREK JOHNSON D.C. (NPI 1043393838) is an individual chiropractor in Nisswa, Minnesota, licensed in Minnesota (DC4116) and active in the NPI registry since October 2006. He is a graduate of Northwestern College Of Chiropractic (2001).

NPPES Registry Identity

NPI1043393838
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DERREK JOHNSONCredential: D.C.
Location Address5482 COUNTY ROAD 18Nisswa, MN 56468
Mailing AddressPo Box 379Nisswa, MN 56468-0379 · (218) 963-3311 · Fax (218) 963-3313
Phone(218) 963-3311
Fax(218) 963-3313
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2001
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043393838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · DC4116
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5482 COUNTY ROAD 18, Nisswa, MN 56468
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Other Identifiers 1

Medicare UPINU95595MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Derrek Johnson D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527954858
PECOS Enrollment IDI20040226000476

Medicare Billing Reassignments

2

Medicare enrollment records show Derrek Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellnessone Of Nisswa
2.4 mi
Chiropractor
5482 COUNTY RD. 18
Nisswa, MN 56468
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1578646360 (218) 963-3311
Wellnessone Of Crosslake
13 mi
Chiropractor
35272 COUNTY ROAD 3
Crosslake, MN 56442
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1396795092 (218) 692-3700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
737 services66 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
96 services14 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARON MICHAEL STUMVOLL DC
Chiropractor
5482 COUNTY ROAD 18
NISSWA, MN 56468
Crow Wing County (218) 963-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrek Johnson's NPI number?

The NPI number for Derrek Johnson is 1043393838. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Derrek Johnson located?

Derrek Johnson practices at 5482 County Road 18, Nisswa, MN 56468. The listed phone number is (218) 963-3311.

What is Derrek Johnson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Derrek Johnson enrolled in Medicare?

Yes. Derrek Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Derrek Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derrek Johnson reassigns Medicare benefits to 2 organizations: Wellnessone Of Nisswa (Nisswa, MN) and Wellnessone Of Crosslake (Crosslake, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derrek Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derrek Johnson accept?

Health plans from HealthPartners list Derrek Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derrek Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.