DR. KRISANNA LEE DEPPEN (MD) – Addiction Medicine (Preventive Medicine) Physician, NPI 1003007741
Addiction Medicine (Preventive Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
Loading map...
Provider Addresses for DR. KRISANNA LEE DEPPEN (MD)
Frantz Road, Dublin, Franklin, Ohio, 43016, United States
DUBLIN, OH 430164259
Phone:
Type: Mailing
2030, Stringtown Road, Stringtown, Butler, Baltimore County, Maryland, 21152, United States
GROVE CITY, OH 431233993
Phone: (614) 566-0987
Fax: (614) 566-0978
Type: Location
2030 Stringtown Rd
Grove City, OH 431233993
Phone: (614) 566-0987
Fax: (614) 566-0978
Type: Location
3830 Olentangy River Rd
Columbus, OH 432145404
Phone: (614) 788-8334
Fax: (614) 566-8489
Type: Location
332 E. State St.
Columbus, OH 43215
Phone: (614) 788-5400
Fax: (614) 788-5500
Type: Location
290 E Town St
Columbus, OH 432154602
Phone: (614) 788-5400
Fax: (614) 788-5500
Type: Location
PO BOX 7527
DUBLIN, OH 430170727
Phone: (614) 788-5400
Fax: (614) 788-5500
Type: Mailing
393 E TOWN ST STE 116
COLUMBUS, OH 432154799
Phone: (614) 566-9108
Fax: (614) 566-8737
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2008-08-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080822000228 | I | Family Practice | OH | 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 43016)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice, Urology | OH | |
| Physician Assistant | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| General Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.