Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LISA DEPPEN CRNA
NPI 1083611842
Nurse Anesthetist, Certified Registered in Upland, PA

Active since July 07, 2005
30 MEDICAL CENTER BLVD, SUITE 305, UPLAND, PA 19013(610) 874-6448(610) 876-7399 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Deppen Crna NPPES

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

LISA DEPPEN CRNA (NPI 1083611842) is an individual nurse anesthetist, certified registered in Upland, Pennsylvania, licensed in Pennsylvania (RN266446L) and active in the NPI registry since July 2005. She is affiliated with Bryn Mawr Hospital and is a graduate of Other (1991).

NPPES Registry Identity

NPI1083611842
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLISA DEPPENCredential: CRNA
Location Address30 MEDICAL CENTER BLVD, SUITE 305Upland, PA 19013-3955
Mailing Address1129 Maplecrest CirGladwyne, PA 19035-1337 · (610) 649-4821
Fax(610) 876-7399
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1083611842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in PA · RN266446L
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

30 MEDICAL CENTER BLVD, Upland, PA 19013

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

Lisa Deppen Crna 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 ID3274575774
PECOS Enrollment IDI20050525000327

Hospital Affiliations CMS Care Compare

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

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.

Urology
30 MEDICAL CENTER BLVD, STE 102
UPLAND, PA 19013
Anesthesiology (Pain Medicine)
30 MEDICAL CENTER BLVD, SUITE 305
UPLAND, PA 19013
Nurse Anesthetist, Certified Registered
30 MEDICAL CENTER BLVD, SUITE 305
UPLAND, PA 19013
Internal Medicine (Pulmonary Disease)
30 MEDICAL CENTER BLVD, SUITE 202
UPLAND, PA 19013
Anesthesiology (Pain Medicine)
30 MEDICAL CENTER BLVD, SUITE 305
CHESTER, PA 19013
Surgery (Vascular Surgery)
30 MEDICAL CENTER BLVD, SUITE 101
CHESTER, PA 19013
Internal Medicine (Gastroenterology)
30 MEDICAL CENTER BLVD, SUITE 201
CHESTER, PA 19013
Physician Assistant (Medical)
30 MEDICAL CENTER BLVD, SUIT 304
CHESTER, PA 19013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083611842, enumerated as an "individual" on July 07, 2005.

The provider is located at 30 MEDICAL CENTER BLVD SUITE 305 UPLAND, PA 19013 and the phone number is (610) 874-6448.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Lisa Deppen is affiliated with: BRYN MAWR HOSPITAL.