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 Kansas City, KS

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 August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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

4000 CAMBRIDGE ST, KANSAS CITY, KS 66160(913) 588-1227 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 31, 2026, Jul 8, 2021, Feb 25, 2020 (3 updates tracked since 2020).

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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 Kansas City, Kansas, licensed in Kansas (04-53982) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Liberty.

NPPES Registry Identity

NPI1871127126

Entity TypeIndividualFemale

Primary Taxonomy207Y00000X

Provider Legal NameJENNIFER HE DIEBOLTCredential: MD

Location Address4000 CAMBRIDGE STKansas City, KS 66160-8501

Mailing Address3900 Rainbow BlvdKansas City, KS 66103-2918

Phone(913) 588-1227

Sole ProprietorNo

Enumeration DateFebruary 25, 2020

Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration

NPPES CertifiedAugust 31, 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 KS · 04-53982✔ Licensed in MO · 2026029566

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.

4000 CAMBRIDGE ST, Kansas City, KS 66160

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Secondary Practice Location 1

Location 12525 Glenn Hendren DrLiberty, MO 64068-9625 · Phone (913) 588-1227

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer He Diebolt Md 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 66160 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

$122.41 typical visit price

range $53.00 – $161.67

Typical copayment $30.60 (range $13.25 – $40.41)

Most-billed visit code 99204

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

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 20

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

KELSIE MARIE ZIMMERMAN

Physician Assistant (Surgical)