Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KIMBERLY J DIERKS P.A.-C
NPI 1750374666
Physician Assistant in Omaha, NE

Active since August 25, 2005PECOS Enrolled
139 S 40TH ST, OMAHA, NE 68131(402) 595-3939(402) 595-3898 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Aug 17, 2017 (2 updates tracked since 2017).

About Kimberly J Dierks P.a.-c NPPES

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

KIMBERLY J DIERKS P.A.-C (NPI 1750374666) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (1108) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1750374666
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY J DIERKSCredential: P.A.-C
Location Address139 S 40TH STOmaha, NE 68131-3003
Mailing Address16901 Lakeside Hills CtOmaha, NE 68130-2318 · (402) 717-3769
Fax(402) 595-3898
Sole ProprietorNo
Enumeration DateAugust 25, 2005
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1750374666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NE · 1108 Licensed in IA · 001733
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

139 S 40TH ST, Omaha, NE 68131

Secondary Practice Location 1

Location 116901 Lakeside Hills CtOmaha, NE 68130-2318 · Phone (402) 717-3769

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly J Dierks P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$104.79 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131
Counselor (Mental Health)
139 S 40TH ST
OMAHA, NE 68131
Counselor (Mental Health)
139 S 40TH ST
OMAHA, NE 68131
Physician Assistant
139 S 40TH ST
OMAHA, NE 68131
Physician Assistant
139 S 40TH ST
OMAHA, NE 68131
Internal Medicine
139 S 40TH ST
OMAHA, NE 68131

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 Kimberly Dierks's NPI number?

The NPI number for Kimberly Dierks is 1750374666. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Kimberly Dierks located?

Kimberly Dierks practices at 139 S 40th St, Omaha, NE 68131. The listed phone number is (402) 595-3939.

What is Kimberly Dierks's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Dierks enrolled in Medicare?

Yes. Kimberly Dierks is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Dierks accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Kimberly Dierks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Dierks was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.