Individual provider Active NPI

Deanna Depugh, CNP

  • Family Nurse Practitioner
  • Chillicothe, OH
National Provider Identifier
1205158441
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024108 Issued in OH
Practice address
445 N High St
445 1/2 Is Side Office
Chillicothe, OH 45601
Phone
(740) 327-0400
Fax
(740) 327-0500
NPI assigned
Feb 15, 2010
Reactivated
Jan 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.385441 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.024108 OH Primary

Addresses

Primary practice location

445 N High St
445 1/2 Is Side Office
Chillicothe, OH 45601

Mailing address

445 N High St
445 1/2 Is Side Office
Chillicothe, OH 45601
Phone (740) 327-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190809002088 OH Practitioner - Nurse Practitioner 0446587604 Reassigns benefits to 1 organization
Practice locations: Waverly, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.385441OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Talbot Clinical Services of Ohio LLC CurrentSince Dec 1, 2022 Accepting new patients
Talbot Clinical Services of Ohio LLC CurrentSince Dec 1, 2022 Accepting new patients
Revive Recovery and Wellness CurrentSince Feb 25, 2024 Accepting new patients
Integrated Services for Behavioral Health PastSince Aug 28, 2019 Accepting new patients

Locations

732 Main St
Toledo, OH 43605
Phone (419) 691-0600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1205158441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N HIGH ST",
            "address_2": "445 1/2 IS SIDE OFFICE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-327-0400",
            "fax_number": "740-327-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N HIGH ST",
            "address_2": "445 1/2 IS SIDE OFFICE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-327-0400",
            "fax_number": "740-327-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUGH",
        "first_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "deactivation_date": "2018-12-19",
        "reactivation_date": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.385441",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.