SANDRA J RACKLEY M.D.
NPI 1710967625
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lakeville, MN

Active since January 18, 2006PECOS Enrolled
18432 KENRICK AVE, LAKEVILLE, MN 55044(952) 992-6750 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Aug 19, 2020 (2 updates tracked since 2020).

About Sandra J Rackley M.d. NPPES

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

SANDRA J RACKLEY M.D. (NPI 1710967625) is an individual child & adolescent psychiatry provider in Lakeville, Minnesota, licensed in Minnesota (48197) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710967625
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSANDRA J RACKLEYCredential: M.D.
Location Address18432 KENRICK AVELakeville, MN 55044-9288
Mailing Address18432 Kenrick AveLakeville, MN 55044-9288 · (952) 992-6750
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1710967625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in MN · 48197
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 48197 (MN)
18432 KENRICK AVE, Lakeville, MN 55044

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sandra J Rackley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

Family Medicine
18432 KENRICK AVE
LAKEVILLE, MN 55044
Nurse Practitioner (Pediatrics)
18432 KENRICK AVE
LAKEVILLE, MN 55044
Nurse Practitioner (Psychiatric/Mental Health)
18432 KENRICK AVE
LAKEVILLE, MN 55044
Pediatrics
18432 KENRICK AVE, PARK NICOLLET - LAKEVILLE
LAKEVILLE, MN 55044
Pediatrics
18432 KENRICK AVE
LAKEVILLE, MN 55044
Pediatrics
18432 KENRICK AVE
LAKEVILLE, MN 55044
Social Worker (Clinical)
18432 KENRICK AVE
LAKEVILLE, MN 55044
Physician Assistant
18432 KENRICK AVE
LAKEVILLE, MN 55044

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 Sandra Rackley's NPI number?

The NPI number for Sandra Rackley is 1710967625. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Sandra Rackley located?

Sandra Rackley practices at 18432 Kenrick Ave, Lakeville, MN 55044. The listed phone number is (952) 992-6750.

What is Sandra Rackley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Sandra Rackley enrolled in Medicare?

Yes. Sandra Rackley is registered in the Medicare PECOS enrollment system.

What insurance does Sandra Rackley accept?

Health plans from HealthPartners list Sandra Rackley 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 Sandra Rackley was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.