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 is a Family Medicine Physician 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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