Jared Dietze

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34720 Issued in NE

Practice address

618 N Denver Ave
Hastings, NE 68901-5122

Phone

(402) 834-2450

Fax

(402) 834-2449

NPI assigned

Mar 30, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Nebraska College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nebraska Rural Surgical Associates LLCGroup PAC ID 6204165954, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032
• Henderson Community Hospital Hospital, Henderson, NE, CCN 281308
• Fillmore County Hospital Hospital, Geneva, NE, CCN 281301
• Brodstone Healthcare Hospital, Superior, NE, CCN 281315
• Thayer County Health Services Hospital, Hebron, NE, CCN 281304

Merit-based Incentive Payment System (MIPS)

Final score

92.6 of 100Reported as apm

Quality

82.13

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

92.6 of 100Reported as apm

Quality

82.13

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nebraska Rural Surgical Associates LLC

  • Surgery Physician
  • Hastings, NE
  • NPI 1295397750

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brodstone Memorial Hospital

  • Critical Access Hospital
  • Superior, NE
  • NPI 1306842604
  Care Compare affiliation
• Fillmore County Hospital

  • Critical Access Hospital
  • Geneva, NE
  • NPI 1689769382
  Care Compare affiliation
• Henderson Health Care Services, Inc.

  • Critical Access Hospital
  • Henderson, NE
  • NPI 1336243583
  Care Compare affiliation
• Thayer County Memorial Hospital

  • Critical Access Hospital
  • Hebron, NE
  • NPI 1326029984
  Care Compare affiliation
• The Mary Lanning Memorial Hospital Association

  • Clinical Medical Laboratory
  • Hastings, NE
  • NPI 1205442258

  Hospital

  Care Compare affiliation
• The Mary Lanning Memorial Hospital Association

  • Rural Acute Care Hospital
  • Hastings, NE
  • NPI 1831203488
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1790217651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N DENVER AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015122",
            "telephone_number": "402-834-2450",
            "fax_number": "402-834-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N DENVER AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015122",
            "telephone_number": "402-834-2450",
            "fax_number": "402-834-2449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5333 McAuley Drive, Suite 2115",
            "address_2": "Academic Surgery Clinic",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481978633",
            "country_code": "US",
            "telephone_number": "734-712-3971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETZE",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NE",
            "license": "34720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "34720",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marci Dice
• Madelyn Dickerman, SLP
• Connie Didier
• Julie Didier, RN
• Haylee Dieken
• Paul James Dietze, MD
• Brian M Dinkelman
• Addie Dinslage
• Katherine Marie Docken
• Holly Dodot

• Surgery Physician in Hastings, NE
• Providers in Hastings, NE by specialty
• Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.