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

Jaci Rae Dietz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063258788

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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Omaha, NE

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063258788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
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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