Individual provider Active NPI

Terra Nichole Vejraska, APRN

  • Women's Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1992052104
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
111396 Issued in NE
Practice address
6050 Village Dr
Lincoln, NE 68516-4714
Phone
(402) 421-8581
Fax
(402) 421-8594
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 111396 NE Primary

Addresses

Primary practice location

6050 Village Dr
Lincoln, NE 68516-4714

Mailing address

6050 Village Dr
Lincoln, NE 68516-4714
Phone (402) 421-8581

Other names 1

  • Terra Nichole Lewis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address terra.vejraska@gsodocs.directbygreenway.com

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
I20140714002298 NE Practitioner - Nurse Practitioner 5092930784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gynecologic Surgeons and Obstetricians, P.C.Group PAC ID 4880668805, 10 clinicians

Practice addresses (Care Compare)

6050 Village Dr
Lincoln, NE 68516-4714
Phone (402) 421-8581

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gynecologic Surgeons & Obstetricians, P.C. CurrentSince Jan 17, 2018 Accepting new patients
Obstetrics Aesthetics & Gynecology, PC Past Accepting new patients

Locations

6120 Village Dr
Lincoln, NE 68516
Phone (402) 420-2626

6050 Village Dr
Lincoln, NE 68516
Phone (402) 421-8581

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73670

Organizations & group practices 2

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 3

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1992052104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 VILLAGE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164714",
            "telephone_number": "402-421-8581",
            "fax_number": "402-421-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 VILLAGE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164714",
            "telephone_number": "402-421-8581",
            "fax_number": "402-421-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEJRASKA",
        "first_name": "TERRA",
        "middle_name": "NICHOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NE",
            "license": "111396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "terra.vejraska@gsodocs.directbygreenway.com",
            "affiliation": "N",
            "address_1": "6050 Village Dr",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685164714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERRA",
            "last_name": "LEWIS",
            "middle_name": "NICHOLE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.