Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER HE DIEBOLT MD
NPI 1871127126
Otolaryngology in Liberty, MO

Q: What is Jennifer Diebolt's NPI number?

The NPI number for Jennifer Diebolt is 1871127126. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Q: What is Jennifer Diebolt's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Diebolt was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.

Active since February 25, 2020PECOS Enrolled

2521 GLENN HENDREN DR STE 104, LIBERTY, MO 64068(816) 781-1001(816) 792-0408 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2026, Aug 31, 2026, Jul 8, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Jennifer He Diebolt Md NPPES

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

JENNIFER HE DIEBOLT MD (NPI 1871127126) is an individual otolaryngology provider in Liberty, Missouri, licensed in Missouri (2026029566) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871127126

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameJENNIFER HE DIEBOLTCredential: MD

Location Address2521 GLENN HENDREN DR STE 104Liberty, MO 64068-3388

Mailing Address2521 Glenn Hendren Dr Ste 104Liberty, MO 64068-3388

Phone(816) 781-1001

Fax(816) 792-0408

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 25, 2020

Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1871127126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in MO · 2026029566✔ Licensed in KS · 04-53982

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2521 GLENN HENDREN DR STE 104, Liberty, MO 64068

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Secondary Practice Location 1

Location 14000 Cambridge StKansas City, KS 66160-8501 · Phone (913) 588-1227

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer He Diebolt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810391620

PECOS Enrollment IDI20260902004709

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Diebolt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kansas University Physicians Inc

18 mi

Obstetrics & Gynecology

4000 CAMBRIDGE ST
Kansas City, KS 66160

Reassigned Medicare billing, Kansas and Missouri enrollments
2,139 clinicians in this Medicare group

NPI 1053457978 (913) 588-1227

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64068 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

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

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.

Other Providers at the Same Location NPPES 5

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

ELIZABETH A GANSEN AU.D

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