Individual provider Active NPI

Vicki D Peterson Truksa, APRN

  • Family Nurse Practitioner
  • Columbus, NE
National Provider Identifier
1053671883
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111343 Issued in NE
Practice address
4321 41St Ave
Columbus, NE 68601-2131
Phone
(402) 562-8955
Fax
(402) 564-0611
NPI assigned
May 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111343 NE Primary

Addresses

Primary practice location

4321 41St Ave
Columbus, NE 68601-2131

Mailing address

4321 41St Ave
Columbus, NE 68601-2131
Phone (402) 562-8955

Other practice location 1

2740 N Clarkson St
Fremont, NE 68025-7702
Phone (402) 721-0951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000559 NE Practitioner - Nurse Practitioner 4688822158 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Neighbor Community Health CenterGroup PAC ID 0840100392, shared by 2 NPIs, 16 clinicians

Practice addresses (Care Compare)

2740 N Clarkson St
Fremont, NE 68025-7702
Phone (402) 721-0951

4321 41St Ave
Columbus, NE 68601-2131
Phone (402) 562-7500

Hospital & facility affiliations

  • Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111343NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Genoa CurrentSince Feb 21, 2018 Accepting new patients
Good Neighbor Community Health Center CurrentSince Dec 2, 2020 Accepting new patients
City of Genoa CurrentSince Feb 21, 2018 Accepting new patients
Good Neighbor Community Health Center CurrentSince Dec 2, 2020 Accepting new patients

Locations

4321 41st Ave
Columbus, NE 68601
Phone (402) 562-7500

2740 N Clarkson St
Fremont, NE 68025
Phone (402) 721-0090

505 S Park St
Genoa, NE 68640
Phone (402) 993-2206

Interoperability endpoints

  • Direct secure messaging: vicki.petersontruksa.p1@direct.goodneighbor.nextgenshare.com
  • Direct secure messaging: vicki.peterson.truksa.1@16293.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16293/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1053671883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 41ST AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012131",
            "telephone_number": "402-562-8955",
            "fax_number": "402-564-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 41ST AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012131",
            "telephone_number": "402-562-8955",
            "fax_number": "402-564-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 N Clarkson St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680257702",
            "country_code": "US",
            "telephone_number": "402-721-0951",
            "fax_number": "402-564-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON TRUKSA",
        "first_name": "VICKI",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-27",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.