ASHLEY PAVELKA-SMIDT – Acute Care Nurse Practitioner, NPI 1063140580

ASHLEY PAVELKA-SMIDT is a healthcare provider. based in Fairfield, Nebraska. specializing in NURSE PRACTITIONER. They hold a License No. F08220498 (NE). The NPI Number for ASHLEY PAVELKA-SMIDT is 1063140580

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY PAVELKA-SMIDT
NPI
1063140580
Phone
(402) 984-7300
Address
608 N A ST
Enumeration Date
11 August 2022
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024634521
Graduation Year
2022 (4 years ago)
PAC ID
9739558941
Group Practice PAC ID
4587575550
Professional Enrollment ID
I20221210000213
Address ID
NE689014451HA715XXAVEX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,121 NURSE PRACTITIONER in NE

Provider Addresses for ASHLEY PAVELKA-SMIDT

  • 608 N A ST

    FAIRFIELD, NE 689382201

    Phone: (402) 984-7300

    Type: Mailing

  • 715 N SAINT JOSEPH AVE

    HASTINGS, NE 689014451

    Phone: (402) 463-4521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221210000213INurse PractitionerNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes11443$0
99497Advance care planning, first 30 minutes8969$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes5330$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes3816$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3220$0
View full utilization report →

Insurance plans in this area (ZIP 68938)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587575550View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
-NE
Emergency MedicineOH
Physician AssistantNE
Cardiovascular Disease (Cardiology)NE
Physician AssistantNE
-TN
Orthopedic SurgeryNE
Family PracticeNE
-CO

Reviews

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Frequently asked questions

Can I verify ASHLEY PAVELKA-SMIDT with an NPI only?
You can start verification with NPI 1063140580 for ASHLEY PAVELKA-SMIDT, then check state licensing separately.
Does CMS list ASHLEY PAVELKA-SMIDT as active?
Yes — ASHLEY PAVELKA-SMIDT is active in the NPI listing used on this page.
What is ASHLEY PAVELKA-SMIDT best known for clinically?
Directory data describes ASHLEY PAVELKA-SMIDT with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ASHLEY PAVELKA-SMIDT based?
ASHLEY PAVELKA-SMIDT is tied to Fairfield, Nebraska in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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