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

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: July 26, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
Quality69.52
Promoting Interoperability100
Improvement Activities40
Cost59.92

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.

Emergency Medicine
715 N SAINT JOSEPH AVE
HASTINGS, NE 68901
Nurse Anesthetist, Certified Registered
715 N SAINT JOSEPH AVE
HASTINGS, NE 68901
Pathology (Anatomic Pathology & Clinical Pathology)
715 N SAINT JOSEPH AVE
HASTINGS, NE 68901
Nurse Anesthetist, Certified Registered
715 N SAINT JOSEPH AVE
HASTINGS, NE 68901
Registered Nurse (Home Health)
715 N SAINT JOSEPH AVE
HASTINGS, NE 68901
Clinic/Center (Rehabilitation)
715 N SAINT JOSEPH AVE
HASTINGS, NE 68901
Specialist/Technologist (Athletic Trainer)
715 N SAINT JOSEPH AVE
HASTINGS, NE 68901
Nurse Anesthetist, Certified Registered
715 N SAINT JOSEPH AVE
HASTINGS, NE 68901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Ashley Pavelka-smidt located?

Ashley Pavelka-smidt practices at 715 N Saint Joseph Ave, Hastings, NE 68901. The listed phone number is (402) 463-4521.

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.

Is Ashley Pavelka-smidt enrolled in Medicare?

Yes. Ashley Pavelka-smidt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashley Pavelka-smidt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica list Ashley Pavelka-smidt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ashley Pavelka-smidt affiliated with any hospitals?

According to CMS data, Ashley Pavelka-smidt is affiliated with Mary Lanning Healthcare.

When was this NPI record last updated?

The NPPES record for Ashley Pavelka-smidt was last updated on August 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.