Individual provider Active NPI

Denise S Deppen, CRNA

  • Certified Registered Nurse Anesthetist
  • Oregon, OH
National Provider Identifier
1851340301
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA.13922-NA Issued in OH
Practice address
2801 Bay Park Dr
Oregon, OH 43616-4920
Phone
(419) 690-7653
Fax
(419) 697-7726
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704170733 MI
Certified Registered Nurse Anesthetist 367500000X COA.13922-NA OH Primary

Addresses

Primary practice location

2801 Bay Park Dr
Oregon, OH 43616-4920

Mailing address

2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (419) 690-7653

Other identifiers 1

IdentifierTypeStateIssuer
42636OtherOHAANA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ddeppen16677@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041014000121 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951361948 Reassigns benefits to 3 organizations
I20121018000608 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951361948 Reassigns benefits to 6 organizations
I20191230000165 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951361948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central Corporation of MichiganGroup PAC ID 7012902265, 112 clinicians
Southwest Ohio Anesthesia Consultants LLCGroup PAC ID 6901700640, 362 clinicians

Practice addresses (Care Compare)

5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.13922-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Cincinnati, Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Mercy Memorial Hospital Corporation Nurse Anesthetist, Certified Registered CurrentSince Jul 26, 2013 Accepting new patients
Southfield Rehabilitation Company Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2006 Accepting new patients
Mercy Memorial Hospital Corporation CurrentSince Jul 26, 2013 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince May 5, 2020 Accepting new patients
Southfield Rehabilitation Company CurrentSince Jan 20, 2006 Accepting new patients
Blanchard Valley Regional Health Center Current Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince May 5, 2020 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Promedica Central Corporation of Michigan CurrentSince May 31, 2023 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Jul 3, 2019 Accepting new patients
Capital Area Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2020 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients

Locations

5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

11150 Montgomery Rd
Cincinnati, OH 45249
Phone (513) 564-5000

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

3944 Ranch Road 620 S
Ste 103
Bee Cave, TX 78738
Phone (512) 371-1519

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1851340301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BAY PARK DR",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164920",
            "telephone_number": "419-690-7653",
            "fax_number": "419-697-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BAY PARK DR",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164920",
            "telephone_number": "419-690-7653",
            "fax_number": "419-697-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPPEN",
        "first_name": "DENISE",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704170733",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.13922-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA",
            "identifier": "42636",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddeppen16677@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.