JACI RAE DIETZ
NPI 1063258788
Student in an Organized Health Care Education/Training Program in Omaha, NE

Active since July 02, 2024PECOS EnrolledAccepts Medicare Assignment
4400 EMILE ST, OMAHA, NE 68198(308) 708-0327 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaci Rae Dietz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACI RAE DIETZ (NPI 1063258788) is an individual student in an organized health care education/training program in Omaha, Nebraska and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Kearney Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063258788
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACI RAE DIETZ
Location Address4400 EMILE STOmaha, NE 68198-0600
Mailing Address4400 Emile StOmaha, NE 68198-0600 · (308) 708-0327
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
NPI 1063258788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4400 EMILE ST, Omaha, NE 68198

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaci Rae Dietz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517441389
PECOS Enrollment IDI20260319001377
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
4400 EMILE ST
OMAHA, NE 68198
Student in an Organized Health Care Education/Training Program
4400 EMILE ST
OMAHA, NE 68198
Internal Medicine (Critical Care Medicine)
4400 EMILE ST
OMAHA, NE 68198
Student in an Organized Health Care Education/Training Program
4400 EMILE ST
OMAHA, NE 68198
Dentist
4400 EMILE ST
OMAHA, NE 68198
Student in an Organized Health Care Education/Training Program
4400 EMILE ST
OMAHA, NE 68198
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4400 EMILE ST
OMAHA, NE 68198
Dentist
4400 EMILE ST
OMAHA, NE 68198

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaci Dietz's NPI number?

The NPI number for Jaci Dietz is 1063258788. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Jaci Dietz located?

Jaci Dietz practices at 4400 Emile St, Omaha, NE 68198. The listed phone number is (308) 708-0327.

What is Jaci Dietz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jaci Dietz enrolled in Medicare?

Yes. Jaci Dietz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jaci Dietz affiliated with any hospitals?

According to CMS data, Jaci Dietz is affiliated with Kearney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jaci Dietz was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.