DR. KRISANNA LEE DEPPEN MD
NPI 1003007741
Preventive Medicine - Addiction Medicine in Columbus, OH

Q: What is Krisanna Deppen's NPI number?

The NPI number for Krisanna Deppen is 1003007741. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Q: What is Krisanna Deppen's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Q: When was this NPI record last updated?

The NPPES record for Krisanna Deppen was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment

393 E TOWN ST STE 116, COLUMBUS, OH 43215(614) 566-9108(614) 566-8737 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2025, Dec 17, 2024, Dec 22, 2021 (3 updates tracked since 2021).

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About Dr. Krisanna Lee Deppen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISANNA LEE DEPPEN MD (NPI 1003007741) is an individual addiction medicine provider in Columbus, Ohio, licensed in Ohio (35.088823) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1003007741

Entity TypeIndividualFemale

Primary Taxonomy2083A0300X

Provider Legal NameDR. KRISANNA LEE DEPPENCredential: MD

Location Address393 E TOWN ST STE 116Columbus, OH 43215-4799

Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (614) 788-5400 · Fax (614) 788-5500

Phone(614) 566-9108

Fax(614) 566-8737

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2004

Enumeration DateAugust 7, 2007

Last NPPES UpdateJune 6, 20253 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1003007741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

License✔ Licensed in OH · 35.088823

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 35088823 (OH)

393 E TOWN ST STE 116, Columbus, OH 43215

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Secondary Practice Locations 4

Location 1332 E. State St.Columbus, OH 43215 · Phone (614) 788-5400 · Fax (614) 788-5500

Location 23830 Olentangy River RdColumbus, OH 43214-5404 · Phone (614) 788-8334 · Fax (614) 566-8489

Location 32030 Stringtown RdGrove City, OH 43123-3993 · Phone (614) 566-0987 · Fax (614) 566-0978

Location 4290 E Town StColumbus, OH 43215-4602 · Phone (614) 788-5400 · Fax (614) 788-5500

Other Identifiers 1

Medicaid2912352OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Krisanna Lee Deppen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214029727

PECOS Enrollment IDI20080822000228

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grant Medical Center

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360017

Location111 South Grant AvenueColumbus, OH 43215 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAILEIGH DANIELLE ROSS DO

Preventive Medicine (Addiction Medicine)