KIMBERLY J DIERKS (P.A.-C) – Physician Assistant, NPI 1750374666
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KIMBERLY J DIERKS (P.A.-C)
Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States
OMAHA, NE 681988102
Phone:
Type: Mailing
Nebraska Medicine Midtown Health Center, 139, South 40th Street, Omaha, Douglas County, Nebraska, 68131, United States
OMAHA, NE 681313003
Phone: (402) 595-3939
Fax: (402) 595-3898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040428001373 | I | Physician Assistant | NE | TBD |
| I20061205000045 | I | Physician Assistant | IA | TBD |
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.
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 68198)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Infectious Disease | NE | |
| N E U R O L O G Y | NE | |
| P A T H O L O G Y | NE | |
| Medical Oncology, Hematology/Oncology | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| - | NE | |
| G A S T R O E N T E R O L O G Y | NE | |
| Internal Medicine | NE | |
| N E U R O S U R G E R Y | NE |
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