What is Larry Derksen's NPI number?

Larry Derksen's National Provider Identifier (NPI) is 1053109447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Larry Derksen's specialty?

Larry Derksen is listed in the NPPES registry with a primary specialty of Home Health Aide (Nursing Service Related Providers).

Where is Larry Derksen located?

Larry Derksen's practice location on file with NPPES is 17131 Joanne Dr, Omaha, NE 68136-4156.

What is Larry Derksen's phone number?

The practice phone number listed in the NPPES registry for Larry Derksen is (402) 639-8407.

Is Larry Derksen's NPI active?

Yes — Larry Derksen's NPI (1053109447) is active in the NPPES registry as of the last update on 2025-04-28.

IndividualActive

Larry Derksen

NPI 1053109447 · Home Health Aide · Omaha, NE

Larry Derksen is a Home Health Aide provider in Omaha, NE (NPI 1053109447).

Provider details

NPI number: 1053109447
Entity type: Individual
Primary specialty: Home Health AideNursing Service Related Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Home Health AidePrimary374U00000X
Nursing Service Related Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

17131 Joanne Dr

Omaha, NE 68136-4156

Phone: (402) 639-8407

Fax: (402) 639-8407

Street-level locationGet directions

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Mailing address