ASHLEY PAVELKA-SMIDT
NPI 1063140580
Nurse Practitioner - Acute Care in Hastings, NE

Q: What is Ashley Pavelka-smidt's NPI number?

The NPI number for Ashley Pavelka-smidt is 1063140580. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Q: What is Ashley Pavelka-smidt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since August 11, 2022PECOS EnrolledAccepts Medicare Assignment

78.83/100

CMS Quality Rating

715 N SAINT JOSEPH AVE, HASTINGS, NE 68901(402) 463-4521 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ashley Pavelka-smidt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY PAVELKA-SMIDT (NPI 1063140580) is an individual acute care provider in Hastings, Nebraska, licensed in Nebraska (F08220498) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Mary Lanning Healthcare, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063140580

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameASHLEY PAVELKA-SMIDT

Location Address715 N SAINT JOSEPH AVEHastings, NE 68901-4451

Mailing Address608 N A StFairfield, NE 68938-2201 · (402) 984-7300

Phone(402) 463-4521

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 11, 2022

NPPES CertifiedAugust 11, 2022

✔ NPI 1063140580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NE · F08220498

715 N SAINT JOSEPH AVE, Hastings, NE 68901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Pavelka-smidt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739558941

PECOS Enrollment IDI20221210000213

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ashley Pavelka-smidt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Mary Lanning Memorial Hospital Association

0.7 mi

Family Medicine

715 N SAINT JOSEPH AVE
Hastings, NE 68901

Reassigned Medicare billing, Nebraska enrollment
98 clinicians in this Medicare group

NPI 1356656417 (402) 463-4521

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

186 services116 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

101 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

96 services56 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

51 services50 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

45 services45 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

32 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Lanning Healthcare

Acute Care Hospitals · Hastings, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number280032

Location715 N St Joseph AveHastings, NE 68901 · Adams County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.52

Promoting Interoperability

100

Improvement Activities

Cost

59.92

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH SHUM DO

Emergency Medicine