Jaci Rae Dietz
Jaci Rae Dietz is a Physician Assistant in Omaha, Nebraska. Qualified in 2025, 1 year ago. Practices with Bryan Hospital Kearney, a 117-clinician group and accepts Medicare assignment.
- Years since qualifying
- 1
- In the registry since
- 2024
Practice location Address checks out
4400 Emile StOmaha, NE 68198-0600
Phone: (308) 708-0327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1063258788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 2, 2024 |
| Last updated in NPPES | July 2, 2024 |
| Certification date | July 2, 2024 |
| Mailing address | 4400 Emile St, Omaha, NE 68198-0600 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Bryan Hospital Kearney — 117 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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