Family Medicine
BELLEVUE PRIMARY HEALTHCARE PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1497091888 · enumerated 2012-12-12 · record updated 2024-04-24. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mrs. KELLI PAVLISH APRN, Nurse Practitioner · (402) 525-6976
Addresses and phones
- Mailing address 703 CANYON RD, BELLEVUE, NE, 68005-2735 (402) 525-6976 Google Maps Apple Maps OpenStreetMap
- Practice location 12717 S 28TH AVE, BELLEVUE, NE, 68123-3232 (402) 525-6976 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
- Clinic/Center, Primary Care 261QP2300X · License 111265 NE
In this directory
Locations and evidence
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Practice location
BELLEVUE, NE, 681233232
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.