Bellevue Primary Healthcare PC
NPI 1497091888ActiveOrganization· Family Medicine· Bellevue, NE
Family Medicine in Bellevue, Nebraska, registered in NPPES in December 2012. The authorized official on file is Kelli Rae Pavlish, APRN, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1497091888 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2012 |
| Last updated in NPPES | Apr 24, 2024 |
| Certified by provider | Apr 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | 111265 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (NE) |
|---|
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