BELLEVUE PRIMARY HEALTHCARE PC
NPI 1497091888
Family Medicine in Bellevue, NE
About Bellevue Primary Healthcare Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BELLEVUE PRIMARY HEALTHCARE PC (NPI 1497091888) is a healthcare organization registered as a family medicine in Bellevue, Nebraska and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Kelli Rae Pavlish, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bellevue Primary Healthcare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Bellevue Primary Healthcare PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 38Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 28D2054237
Bellevue Primary Healthcare PC · Bellevue, NEFrequently 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 Bellevue Primary Healthcare PC's NPI number?
The NPI number for Bellevue Primary Healthcare PC is 1497091888. It was assigned to this organization in the NPPES registry on December 12, 2012.
Where is Bellevue Primary Healthcare PC located?
Bellevue Primary Healthcare PC is located at 12717 S 28th Ave, Bellevue, NE 68123. The listed phone number is (402) 525-6976.
What is Bellevue Primary Healthcare PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bellevue Primary Healthcare PC enrolled in Medicare?
Yes. Bellevue Primary Healthcare PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bellevue Primary Healthcare PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 8 Medicare specialties reassign their Medicare billing to Bellevue Primary Healthcare PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (23), Nurse Practitioner (9) and Certified Nurse Midwife (CNM) (1). Of these, 1 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bellevue Primary Healthcare PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 28D2054237) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bellevue Primary Healthcare PC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Bellevue Primary Healthcare PC 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.
When was this NPI record last updated?
The NPPES record for Bellevue Primary Healthcare PC was last updated on April 24, 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.
# Bellevue Primary Healthcare Pc · NPI 1497091888
Family Medicine organization in Bellevue, Nebraska. Organization record, active in the CMS NPPES registry since December 12, 2012.
## Identity
- **NPI:** 1497091888 (Entity type: Organization)
- **Enumerated:** December 12, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kelli Pavlish, NURSE PRACTITIONER
## Practice location
- **Address:** 12717 S 28TH AVE, Bellevue, NE 68123-3232
- **Phone:** (402) 525-6976
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 38 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (23), Nurse Practitioner (9), Certified Nurse Midwife (CNM) (1); 1 practice at this address and 24 within 10 miles; [full list](https://npiprofile.com/npi/1497091888/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497091888) · Data from the CMS NPPES public registry.