DEREK GORACKE DC
NPI 1104398171
Chiropractor in Alexandria, MN
About Derek Goracke Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK GORACKE DC (NPI 1104398171) is an individual chiropractor in Alexandria, Minnesota, licensed in Minnesota (6566) and active in the NPI registry since January 2019. He is a graduate of Northwestern College Of Chiropractic (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Derek Goracke Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Derek Goracke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alexandria, MN 56308
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
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
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.
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 Derek Goracke's NPI number?
The NPI number for Derek Goracke is 1104398171. It was assigned to this individual provider in the NPPES registry on January 1, 2019.
Where is Derek Goracke located?
Derek Goracke practices at 510 22nd Ave E Ste 701, Alexandria, MN 56308. The listed phone number is (320) 763-9711.
What is Derek Goracke's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Derek Goracke enrolled in Medicare?
Yes. Derek Goracke 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 organization bills Medicare for Derek Goracke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Goracke reassigns Medicare benefits to Central Lakes Chiropractic Clinic PC (Alexandria, MN). The 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 Derek Goracke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Goracke accept?
Health plans from HealthPartners list Derek Goracke 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 Derek Goracke was last updated on January 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Derek Goracke, DC · NPI 1104398171
Chiropractor provider in Alexandria, Minnesota. Individual provider, active in the CMS NPPES registry since January 1, 2019.
## Identity
- **NPI:** 1104398171 (Entity type: Individual)
- **Enumerated:** January 1, 2019
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 6566 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 22ND AVE E STE 701, Alexandria, MN 56308-4817
- **Phone:** (320) 763-9711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Central Lakes Chiropractic Clinic PC (NPI 1902861339, Alexandria, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern College Of Chiropractic, class of 2018
## Record status
- **NPPES last updated:** January 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104398171) · Data from the CMS NPPES public registry.