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PAIGE M MCELFRESH APRN
NPI 1114659349
Nurse Practitioner in Lincoln, NE

Active since June 27, 2022PECOS EnrolledAccepts Medicare Assignment
73.68/100
CMS Quality Rating
2222 S 16TH ST STE 405, LINCOLN, NE 68502(402) 481-5860 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paige M Mcelfresh Aprn NPPES

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

PAIGE M MCELFRESH APRN (NPI 1114659349) is an individual nurse practitioner in Lincoln, Nebraska, licensed in Nebraska (114241) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114659349
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePAIGE M MCELFRESHCredential: APRN
Location Address2222 S 16TH ST STE 405Lincoln, NE 68502-3793
Mailing AddressPo Box 860876Minneapolis, MN 55486-0876 · (402) 483-8590 · Fax (402) 483-8599
Phone(402) 481-5860
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 27, 2022
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1114659349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NE · 114241
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 114241 (NE)
2222 S 16TH ST STE 405, Lincoln, NE 68502
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Other Names 1

Former Name (1)Paige M Pavlik Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.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

Paige M Mcelfresh Aprn 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 ID6709253750
PECOS Enrollment IDI20221103000576
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
244 services170 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services35 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68502 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.

73.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.38
Promoting Interoperability82
Improvement Activities40
Cost37.02

Other Providers at the Same Location NPPES 2

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

MRS. KENDALL KRISTINE PETERSON APRN- NP
Nurse Practitioner (Acute Care)
2222 S 16TH ST STE 405
LINCOLN, NE 68502
Lancaster County (402) 481-1111
JERI L SPATZ PA
Physician Assistant (Medical)
2222 S 16TH ST STE 405
LINCOLN, NE 68502
Lancaster County (402) 474-3704

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 Paige Mcelfresh's NPI number?

The NPI number for Paige Mcelfresh is 1114659349. It was assigned to this individual provider in the NPPES registry on June 27, 2022. The provider is also known as Paige M Pavlik Aprn.

Where is Paige Mcelfresh located?

Paige Mcelfresh practices at 2222 S 16th St Ste 405, Lincoln, NE 68502. The listed phone number is (402) 481-5860.

What is Paige Mcelfresh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Paige Mcelfresh enrolled in Medicare?

Yes. Paige Mcelfresh 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 Paige Mcelfresh accept?

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

According to CMS data, Paige Mcelfresh is affiliated with Bryan Medical Center.

When was this NPI record last updated?

The NPPES record for Paige Mcelfresh was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.