DR. DERREK JOHNSON (D.C.) – Chiropractor, NPI 1043393838

DR. DERREK JOHNSON (D.C.) is a healthcare provider. based in Nisswa, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. DC4116 (MN). The NPI Number for DR. DERREK JOHNSON (D.C.) is 1043393838

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. DERREK JOHNSON (D.C.)
NPI
1043393838
Phone
(218) 963-3311
Address
PO BOX 379
Enumeration Date
23 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
2186923700
Graduation Year
2001 (25 years ago)
PAC ID
8527954858
Professional Enrollment ID
I20040226000476
Address ID
MN564422823CR13833LNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for DR. DERREK JOHNSON (D.C.)

  • PO BOX 379

    NISSWA, MN 564680379

    Phone: (218) 963-3311

    Fax: (218) 963-3313

    Type: Mailing

  • County Road 18, Pequot Terrace, Nisswa, Crow Wing County, Minnesota, 56459, United States

    NISSWA, MN 56468

    Phone: (218) 963-3311

    Fax: (218) 963-3313

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040226000476IChiropracticMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions58664$0
98940Chiropractic manipulative treatment, 1-2 spinal regions9514$0
View full utilization report →

Insurance plans in this area (ZIP 56468)

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Reviews

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Frequently asked questions

Can I cross-check DR. DERREK JOHNSON (D.C.) using NPI 1043393838?
NPI 1043393838 belongs to DR. DERREK JOHNSON (D.C.); compare other details if you need extra assurance.
Is DR. DERREK JOHNSON (D.C.) still an active registrant?
DR. DERREK JOHNSON (D.C.) carries an active NPI according to the public dataset.
How would a patient describe DR. DERREK JOHNSON (D.C.)'s focus?
For DR. DERREK JOHNSON (D.C.), the primary taxonomy reads as Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. DERREK JOHNSON (D.C.) located near Nisswa?
DR. DERREK JOHNSON (D.C.) currently maps to Nisswa, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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