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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

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 04, 2026.

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

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 and maintains a secondary practice location in Kansas City.

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
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

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 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
Audiologist
2521 GLENN HENDREN DR STE 104
LIBERTY, MO 64068
Clay County (816) 781-1001
NEW LIBERTY HOSPITAL CORPORATION
Otolaryngology
2521 GLENN HENDREN DR STE 104
LIBERTY, MO 64068
Clay County (816) 781-1001
SARA MARIE OTTE
Audiologist
2521 GLENN HENDREN DR STE 104
LIBERTY, MO 64068
Clay County (816) 781-0352
DR. JOHN JUDSON BARCLAY JR. D.O.
Otolaryngology (Plastic Surgery within the Head & Neck)
2521 GLENN HENDREN DR STE 104
LIBERTY, MO 64068
Clay County (816) 781-1001
MS. TANYA MCCREA NIELSEN MS CCCA
Audiologist
2521 GLENN HENDREN DR STE 104
LIBERTY, MO 64068
Clay County (816) 781-6066

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 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.

Where is Jennifer Diebolt located?

Jennifer Diebolt practices at 2521 Glenn Hendren Dr Ste 104, Liberty, MO 64068. The listed phone number is (816) 781-1001.

What is Jennifer Diebolt's specialty?

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

Is Jennifer Diebolt enrolled in Medicare?

Yes. Jennifer Diebolt is registered in the Medicare PECOS enrollment system.

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 24 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.