Brea Smith Proffitt, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2318 Issued in NE

Practice address

1301 Grundman Blvd Ste a
Nebraska City, NE 68410-3320

Phone

(402) 873-4242

NPI assigned

Jan 30, 2019

Last updated

Jan 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Marys Community HospitalGroup PAC ID 7113831926, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Society Home Care of Southeast NE Home health agency, Auburn, NE, CCN 287115
• CHI Health St Mary's Hospital, Nebraska City, NE, CCN 281342

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: breasmithproffitt@normd.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Mary's Community Hospital

  dba CHI Health St. Mary's

  • Critical Access Hospital
  • Nebraska City, NE
  • NPI 1528016995
  Medicare reassignment Care Compare group
• CHI Health Clinic Specialty, LLC

  • Hospitalist Physician
  • Lincoln, NE
  • NPI 1285138065
  Medicare reassignment
• St. Mary's Community Hospital

  dba Nebraska City Medical Clinic

  • Rural Health Clinic/Center
  • Nebraska City, NE
  • NPI 1851737316
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary's Community Hospital

  dba CHI Health St. Mary's

  • Critical Access Hospital
  • Nebraska City, NE
  • NPI 1528016995
  Care Compare affiliation
• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan Society - Home Care of Southeast Nebraska

  • Home Health Agency
  • Auburn, NE
  • NPI 1437132123
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1114481546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 GRUNDMAN BLVD STE A",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684103320",
            "telephone_number": "402-873-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 GRUNDMAN BLVD STE A",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684103320",
            "telephone_number": "402-873-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH PROFFITT",
        "first_name": "BREA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "2318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Sarske
• Alex Carl Schnitzer, LAT,ATC
• Mark Alan Schnurr, P.T., R.D., C.S.C.S.
• Michael John Sebek, PA
• Mary Ann Sides, DPT, ATC
• Brett I Smith
• Clay Smith
• Corbin Robert Smith, DDS
• Nicki Smith
• Tina Marie Smith, PTA

• Medical Physician Assistant in Nebraska City, NE
• Providers in Nebraska City, NE by specialty
• Medical Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.