BREA SMITH PROFFITT PAC
NPI 1114481546
Physician Assistant - Medical in Nebraska City, NE

Active since January 30, 2019PECOS EnrolledAccepts Medicare Assignment
1301 GRUNDMAN BLVD STE A, NEBRASKA CITY, NE 68410(402) 873-4242 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brea Smith Proffitt Pac NPPES

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

BREA SMITH PROFFITT PAC (NPI 1114481546) is an individual medical provider in Nebraska City, Nebraska, licensed in Nebraska (2318) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Chi Health St. Mary's, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114481546
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBREA SMITH PROFFITTCredential: PAC
Location Address1301 GRUNDMAN BLVD STE ANebraska City, NE 68410-3320
Mailing Address1301 Grundman Blvd Ste ANebraska City, NE 68410-3320 · (402) 873-4242
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 30, 2019
NPI 1114481546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NE · 2318
1301 GRUNDMAN BLVD STE A, Nebraska City, NE 68410

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

Brea Smith Proffitt Pac 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 ID7911245048
PECOS Enrollment IDI20190214001228
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.

Hospital Affiliations CMS Care Compare

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

Chi Health St. Mary's

Critical Access Hospitals · Nebraska City, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number281342
Location1301 Grundman BlvdNebraska City, NE 68410 · Otoe County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers22 claims53 services$5.97 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$55.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Family Medicine
1301 GRUNDMAN BLVD STE A
NEBRASKA CITY, NE 68410
Physician Assistant
1301 GRUNDMAN BLVD STE A
NEBRASKA CITY, NE 68410
Family Medicine
1301 GRUNDMAN BLVD STE A
NEBRASKA CITY, NE 68410
Nurse Practitioner (Family)
1301 GRUNDMAN BLVD STE A
NEBRASKA CITY, NE 68410

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 Brea Smith Proffitt's NPI number?

The NPI number for Brea Smith Proffitt is 1114481546. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Brea Smith Proffitt located?

Brea Smith Proffitt practices at 1301 Grundman Blvd Ste A, Nebraska City, NE 68410. The listed phone number is (402) 873-4242.

What is Brea Smith Proffitt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brea Smith Proffitt enrolled in Medicare?

Yes. Brea Smith Proffitt 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 Brea Smith Proffitt accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Brea Smith Proffitt 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 Brea Smith Proffitt affiliated with any hospitals?

According to CMS data, Brea Smith Proffitt is affiliated with Chi Health St. Mary's.

When was this NPI record last updated?

The NPPES record for Brea Smith Proffitt was last updated on January 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.