Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bellevue Primary Healthcare PC

Organization Family Medicine Physician · NPI 1497091888

Bellevue Primary Healthcare PC provides Family Medicine Physician services in Bellevue, Nebraska. Licensed in Nebraska. Registered with an NPI since 2012.

Licensed in
NE
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12717 S 28th Ave
Bellevue, NE 68123-3232
Phone: (402) 525-6976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence 111265 (NE)

Record details

NPI number1497091888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelli Pavlish — Nurse Practitioner · (402) 525-6976
NPI enumeratedDecember 12, 2012
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address703 Canyon Rd, Bellevue, NE 68005-2735

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