DR. RANDY ROBERT JOHNSON DC
NPI 1124180450
Chiropractor in Glencoe, MN
About Dr. Randy Robert Johnson Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RANDY ROBERT JOHNSON DC (NPI 1124180450) is an individual chiropractor in Glencoe, Minnesota, licensed in Minnesota (4635) and active in the NPI registry since December 2006. He is a graduate of Northwestern College Of Chiropractic (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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
Dr. Randy Robert Johnson 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 Randy Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glenoce, MN 55336
- 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 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENCOE, MN 55336
GLENOCE, MN 55336
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 Randy Johnson's NPI number?
The NPI number for Randy Johnson is 1124180450. It was assigned to this individual provider in the NPPES registry on December 14, 2006.
Where is Randy Johnson located?
Randy Johnson practices at 1706 East Tenth Street Gauer Chiropractic Clinic, Glencoe, MN 55336. The listed phone number is (320) 864-3196.
What is Randy Johnson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Randy Johnson enrolled in Medicare?
Yes. Randy 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 organization bills Medicare for Randy Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Johnson reassigns Medicare benefits to Gauer Chiropractic Clinic PA (Glenoce, 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 Randy Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randy Johnson accept?
Health plans from HealthPartners list Randy 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 Randy 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.
# Dr. Randy Robert Johnson, DC · NPI 1124180450
Chiropractor provider in Glencoe, Minnesota. Individual provider, active in the CMS NPPES registry since December 14, 2006.
## Identity
- **NPI:** 1124180450 (Entity type: Individual)
- **Enumerated:** December 14, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 4635 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1706 EAST TENTH STREET, GAUER CHIROPRACTIC CLINIC, Glencoe, MN 55336
- **Phone:** (320) 864-3196 · **Fax:** (320) 864-3197
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Gauer Chiropractic Clinic PA (NPI 1821150178, Glenoce, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern College Of Chiropractic, class of 2004
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other 869035 (MN); Other 370K6J0 (MN); Other 649104 (MN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1124180450) · Data from the CMS NPPES public registry.