Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared Dietze

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790217651

Jared Dietze is a General Surgery in Hastings, Nebraska. Graduated from University of Nebraska College of Medicine in 2017, 9 years ago. Practices with Nebraska Rural Surgical Associates LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
9
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

618 N Denver Ave
Hastings, NE 68901-5122
Phone: (402) 834-2450
Fax: (402) 834-2449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5333 McAuley Drive, Suite 2115, Ypsilanti, MI 48197-8633 — (734) 712-3971

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 34720 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790217651
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 30, 2017
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address618 N Denver Ave, Hastings, NE 68901-5122

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Nebraska Rural Surgical Associates Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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