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Active NPI 1144905159 Individual Practitioner Male Practitioner

Samuel Thomas Goracke , CNP

Nurse Practitioner • St Louis Park, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Goracke, CNP is a certified Nurse Practitioner practicing in St Louis Park, MN. With approximately 3 years of clinical experience since completing medical education in 2023, Samuel Goracke delivers high-quality medical care to the local community at 6500 EXCELSIOR BLVD.

Samuel Goracke maintains professional affiliations with St. Croix Regional Medical Center, Glacial Ridge Hospital District and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

6500 Excelsior Blvd

St Louis Park, MN 554264702

Telephone 3204240570
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in St Louis Park, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -9.4 yrs vs City Avg
City Avg: 12.4 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
68 Specialists

Practicing in St Louis Park, MN (2609 Statewide)

Telehealth Adoption Rate
33.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goracke (3 Years) 3 Yrs
St Louis Park Specialty Average (12.4 Years) 12.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-09-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 10717

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MN 00000000

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

St. Croix Regional Medical Center

235 E State St, Saint Croix Falls, WI 540244117

Phone: 7154833221

Glacial Ridge Hospital District

10 4th Ave Se, Glenwood, MN 563341820

Phone: 3206344521

St. Croix Regional Medical Center

235 E State St, St Croix Falls, WI 540244117

St. Croix Regional Medical Center

235 State St, St Croix Falls, WI 540244117

Secondary Practice Locations

640 Jackson St

Saint Paul, MN 551012502

Phone: 3204240570

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Nancy Nelson , MD

Obstetrics & Gynecology

NPI 1003108028

Doctor of Medicine (M.D.)

Dr. Katie Andrinas , MD, MPH

Obstetrics & Gynecology

NPI 1003311978

Doctor of Medicine (M.D.), Master of Public Health

Dr. Cara Houle , MD

Internal Medicine

NPI 1003821968

Doctor of Medicine (M.D.)

Dr. Janet Grayson , MD

Internal Medicine

NPI 1003892456

Doctor of Medicine (M.D.)

Jeffrey Shultz

Internal Medicine - Cardiovascular Disease

NPI 1003893520
Mary Beth Johnson , OTR, L

Occupational Therapist

NPI 1013016708

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address September 27, 2023

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

NPI Profile Active June 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2023

Registered at 6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 554264702 (Tel: 3204240570)

📍
Updated Business Mailing Address June 19, 2023

Registered at 30258 ORCHARD CT, CENTER CITY, MN 550126901 (Tel: 3204240570)

👤
Provider Name / Credentials Updated June 19, 2023

Recorded as SAMUEL GORACKE, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2023

Internal Medicine (License #00000000 in MN)

🟢
Initial NPI Registration & Enumeration June 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144905159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2023
Last Update: September 27, 2023
Sole Proprietor: No

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.