LETISHA JOLENE DEIBERT (MD) – Hospitalist Physician, NPI 1104346113

LETISHA JOLENE DEIBERT (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in Hospitalist Physician. They hold the professional credentials MD. They hold a License No. 31502 (NE). The NPI Number for LETISHA JOLENE DEIBERT (MD) is 1104346113

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LETISHA JOLENE DEIBERT (MD)
NPI
1104346113
Phone
Not provided
Address
401 S 41ST ST APT 308
Enumeration Date
21 June 2017
Last Update Date
25 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4022198000
Graduation Year
2017 (9 years ago)
PAC ID
1850664855
Group Practice PAC ID
3476453267
Professional Enrollment ID
I20200721002742
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

Provider Addresses for LETISHA JOLENE DEIBERT (MD)

  • 401 S 41ST ST APT 308

    OMAHA, NE 681313721

    Phone:

    Type: Mailing

  • 7440 S 91st St

    Lincoln, NE 685269797

    Phone: (402) 328-2008

    Fax: (402) 421-0946

    Type: Location

  • MEDICAL CENTER BLVD

    WINSTON SALEM, NC 271570001

    Phone: (336) 713-5215

    Fax: (336) 716-0030

    Type: Mailing

  • The Physicians Network, 7440, South 91st Street, Pine Lake, Lincoln, Lancaster County, Nebraska, 68526, United States

    LINCOLN, NE 685269797

    Phone: (402) 328-2008

    Fax: (402) 421-0946

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: Oculus Surgical Inc. ($123).

Total Amount

$123

General + Research + Ownership

Payments

1

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Oculus Surgical Inc.$123
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210902000261IHospitalistNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68131)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476453267View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNE
-NE
Physical Medicine And RehabilitationNE
-FL
Physician AssistantNE
-NE
Critical Care (Intensivists)NE
Infectious Disease, Internal MedicineNE
-NE
Nurse PractitionerNE

Reviews

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Frequently asked questions

Does LETISHA JOLENE DEIBERT (MD) have a public NPI I can cite?
Public records show LETISHA JOLENE DEIBERT (MD) under NPI 1104346113.
Is LETISHA JOLENE DEIBERT (MD) currently accepting referrals based on NPI status?
Registry metadata lists LETISHA JOLENE DEIBERT (MD) as active.
What services align with LETISHA JOLENE DEIBERT (MD)'s listing?
LETISHA JOLENE DEIBERT (MD)'s public classification highlights Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What city is tied to LETISHA JOLENE DEIBERT (MD)?
The directory associates LETISHA JOLENE DEIBERT (MD) with Omaha, Nebraska. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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