Nicole Marie Truckor, CNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

448032 Issued in OH

Practice address

5308 Harroun Rd Ste 165
Sylvania, OH 43560-2174

Phone

(567) 585-0985

Fax

(567) 585-0986

NPI assigned

May 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Marie Katzakis Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

University of Toledo College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nkatzakis120247@direct.promedica.org

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.

• Promedica Central Physicians

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1043270150
  Medicare reassignment Care Compare group NPD
• Hospice of Northwest Ohio

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Perrysburg, OH
  • NPI 1174859508
  Medicare reassignment NPD
• Promedica Central Physicians

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
  • NPI 1669068482
  NPD

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1639817323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD STE 165",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD STE 165",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602174",
            "telephone_number": "567-585-0985",
            "fax_number": "567-585-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUCKOR",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "448032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkatzakis120247@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "5308 Harroun Rd Ste 165",
            "city": "Sylvania",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435602174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KATZAKIS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danchau Tran
• Annemarie Elaine Tremaine, PT
• Trilogy Healthcare of King, LLC
• Trilogy Healthcare of Sylvania LLC
• Trilogy Healthcare SL of King, LLC
• Wendy Frederickson Trudeau, LCSW
• Trusted Dentistry Nadeem Khan DDS LLC
• Albert Weijeich Tsang, M.D.
• Todd Tscherne
• Tshomecare Corp

• Primary Care Nurse Practitioner in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.