| Bellevue Primary Healthcare PC | |
|
12717 S 28th Ave Bellevue NE 68123-3232 | |
| (402) 525-6976 | |
| Not Available |
| Full Name | Bellevue Primary Healthcare PC |
|---|---|
| Speciality | Family Medicine |
| Location | 12717 S 28th Ave, Bellevue, Nebraska |
| Authorized Official Name and Position | Kelli Rae Pavlish (NURSE PRACTITIONER) |
| Authorized Official Contact | 4025256976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Primary Healthcare PC 703 Canyon Rd Bellevue NE 68005-2735 Ph: (402) 525-6976 | Bellevue Primary Healthcare PC 12717 S 28th Ave Bellevue NE 68123-3232 Ph: (402) 525-6976 |
| NPI Number | 1497091888 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 2860639051 |
|---|---|
| Medicare Enrollment ID | O20130507000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497091888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | 111265 (Nebraska) | Secondary |
| Provider Name | Lori S Terryberry-spohr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962590372 PECOS PAC ID: 7214821172 Enrollment ID: I20040211000618 |
| Provider Name | Alan D Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053495614 PECOS PAC ID: 8628001054 Enrollment ID: I20050915000449 |
| Provider Name | Rebecca L Newberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568665206 PECOS PAC ID: 4183712110 Enrollment ID: I20071108000509 |
| Provider Name | Kimberly Kay Harm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477535730 PECOS PAC ID: 0749366722 Enrollment ID: I20080401000301 |
| Provider Name | Brandi L Hensley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013967447 PECOS PAC ID: 5597891705 Enrollment ID: I20100326000786 |
| Provider Name | Kelly L Thelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619071206 PECOS PAC ID: 4688707656 Enrollment ID: I20100728000928 |
| Provider Name | Latrice D Martin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932439205 PECOS PAC ID: 8426230848 Enrollment ID: I20110307000634 |
| Provider Name | Kelli R Pavlish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255611059 PECOS PAC ID: 1052588902 Enrollment ID: I20120118000518 |
| Provider Name | Robert J Langenfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275573875 PECOS PAC ID: 8628123031 Enrollment ID: I20150923000912 |
| Provider Name | Maen M Haddadin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316097314 PECOS PAC ID: 3779591599 Enrollment ID: I20160121001078 |
| Provider Name | Amy Jo Lyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538684535 PECOS PAC ID: 5193078749 Enrollment ID: I20181029000933 |
| Provider Name | Nazira Usmanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902444979 PECOS PAC ID: 8325473028 Enrollment ID: I20200125000297 |
| Provider Name | Valerie Height |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548856750 PECOS PAC ID: 8729477310 Enrollment ID: I20211122000498 |
| Provider Name | Kyleen Schmoker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164187811 PECOS PAC ID: 2163812496 Enrollment ID: I20211201000574 |
| Provider Name | Kerry L Takeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811681497 PECOS PAC ID: 8921468430 Enrollment ID: I20230715000551 |
| Provider Name | Sara M Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740717990 PECOS PAC ID: 9032554993 Enrollment ID: I20240301000292 |
| Provider Name | Chelsy M Bailly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164994224 PECOS PAC ID: 5991144305 Enrollment ID: I20240418001642 |
| Provider Name | Ryan M Bieck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780061218 PECOS PAC ID: 2668812389 Enrollment ID: I20240429002336 |
| Provider Name | Sharon T Hughbanks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700176781 PECOS PAC ID: 1254771652 Enrollment ID: I20240502001700 |
| Provider Name | Katherine M Eisenbeil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447560156 PECOS PAC ID: 1658711064 Enrollment ID: I20240502001916 |
| Provider Name | Jennifer Lee Coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891373130 PECOS PAC ID: 4880034065 Enrollment ID: I20240506000573 |
| Provider Name | Barbara Daubenspeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336635234 PECOS PAC ID: 1658712468 Enrollment ID: I20240510001866 |
| Provider Name | Christine E Salvatore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023156502 PECOS PAC ID: 7113461633 Enrollment ID: I20240626000162 |
| Provider Name | Alliea Bice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205320611 PECOS PAC ID: 3971049644 Enrollment ID: I20240718002781 |
| Provider Name | Christine K Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982368858 PECOS PAC ID: 7012457385 Enrollment ID: I20240912004070 |
| Provider Name | Andrea Degner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326682592 PECOS PAC ID: 7214469105 Enrollment ID: I20241016003678 |
| Provider Name | Julio a Machuca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073266508 PECOS PAC ID: 0648790535 Enrollment ID: I20250221002627 |
| Provider Name | Jungwon Cho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528700333 PECOS PAC ID: 9830612209 Enrollment ID: I20250326001665 |
| Provider Name | Rachael Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063137750 PECOS PAC ID: 4789100223 Enrollment ID: I20250429000143 |
| Provider Name | John Vankat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689174898 PECOS PAC ID: 7214446277 Enrollment ID: I20250602001040 |
| Provider Name | Daniel G Fender |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083873806 PECOS PAC ID: 6709163587 Enrollment ID: I20250908000763 |
| Provider Name | Rose S Kern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700537420 PECOS PAC ID: 2961906961 Enrollment ID: I20250922000420 |
| Provider Name | Jessica Freeman-krieger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841173226 PECOS PAC ID: 8628572633 Enrollment ID: I20250922000503 |
| Provider Name | Scott Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215065834 PECOS PAC ID: 9537664628 Enrollment ID: I20250929001167 |
| Provider Name | Cassandra Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154000826 PECOS PAC ID: 4486151107 Enrollment ID: I20251008003648 |
| Provider Name | Alicia Webber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275949810 PECOS PAC ID: 8426541558 Enrollment ID: I20251205002565 |
| Provider Name | Ronald Ganze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891447215 PECOS PAC ID: 4688150394 Enrollment ID: I20260113001266 |
Roy W.holeyfield Jr. M.D. P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12717 S 28th Ave, Bellevue, NE 68123 Phone: 402-991-7071 Fax: 402-292-7465 |
The Family Doc, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2211 Capehart Rd Ste 103, Bellevue, NE 68123 Phone: 402-933-4111 Fax: 402-934-4111 |
Foundation Surgery Center of St Louis LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11416 S 44th St, Bellevue, NE 68123 Phone: 661-345-5835 |
Twin Creeks Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3802 Raynor Pkwy Ste 201, Bellevue, NE 68123 Phone: 402-449-5800 |
Dfas-jfll/in Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4005 Raynor Pkwy Apt 3316, Bellevue, NE 68123 Phone: 210-862-0632 |
Oneworld Community Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2207 Georgia Ave, Bellevue, NE 68005 Phone: 402-502-8855 Fax: 402-502-8854 |