KELLI R. PAVLISH (NP) – Nurse Practitioner, NPI 1255611059
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
Provider Addresses for KELLI R. PAVLISH (NP)
12717 S 28th Ave
Bellevue, NE 681233232
Phone: (402) 292-6006
Fax: (402) 292-7465
Type: Location
12717 S 28TH AVE
BELLEVUE, NE 681233232
Phone: (402) 292-6006
Fax: (402) 292-7465
Type: Location
1320 GALVIN RD S
BELLEVUE, NE 680053064
Phone: (402) 292-6006
Fax: (402) 292-7465
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 109 Open Payments records for all available years, with a total value of $2,519.
Total Amount is formed as General ($2,519) + Research ($0) + Ownership ($0) = $2,519.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($566).
Total Amount
$2,519
General + Research + Ownership
Payments
109
Total payment records
General Amount
$2,519
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $566 |
| AIMMUNE THERAPEUTICS, INC. | $242 |
| Novo Nordisk Inc | $189 |
| HARMONY BIOSCIENCES LLC | $177 |
| Otsuka America Pharmaceutical, Inc. | $163 |
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: 2012-01-18
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120118000518 | I | Nurse Practitioner | NE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 118 | 65 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 98 | 66 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 88 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 54 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 64 | 26 | $0 |
Insurance plans in this area (ZIP 68123)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | NE | 81002 | Urinalysis, manual test | 33 | 26 |
| NURSE PRACTITIONER | NE | 90670 | Pneumococcal vaccine for injection into muscle | 16 | 16 |
| NURSE PRACTITIONER | NE | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 600 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | NE | |
| Nurse Practitioner | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NV | |
| Mental Health Counselor | NE | |
| Clinical Social Worker | NE | |
| Nurse Practitioner | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NE |
Reviews
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