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NICKETTE DONNA MARIE DEPASS-SURGEON FNP
NPI 1861200651
Nurse Practitioner - Primary Care in Columbus, OH

Active since December 25, 2024PECOS EnrolledAccepts Medicare Assignment
6011 CLEVELAND AVE STE B, COLUMBUS, OH 43231(614) 966-1690(614) 368-0448 Get Directions Write a Review

NPPES record last updated: December 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nickette Donna Marie Depass-surgeon Fnp NPPES

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

NICKETTE DONNA MARIE DEPASS-SURGEON FNP (NPI 1861200651) is an individual primary care provider in Columbus, Ohio, licensed in Ohio (APRN.CPN.0038251) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861200651
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNICKETTE DONNA MARIE DEPASS-SURGEONCredential: FNP
Location Address6011 CLEVELAND AVE STE BColumbus, OH 43231-2256
Mailing Address6011 Cleveland Ave Ste BColumbus, OH 43231-2256 · (614) 966-1690 · Fax (614) 368-0448
Phone(614) 966-1690
Fax(614) 368-0448
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 25, 2024
NPPES CertifiedDecember 25, 2024
✔ NPI 1861200651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OH · APRN.CPN.0038251
6011 CLEVELAND AVE STE B, Columbus, OH 43231
Open in Google Maps ↗

Accepted Insurance

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

Nickette Donna Marie Depass-surgeon Fnp 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 ID6103346598
PECOS Enrollment IDI20250228002457
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43231 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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 4

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

MAUMI MOHAMED CNP
Nurse Practitioner (Family)
6011 CLEVELAND AVE STE B
COLUMBUS, OH 43231
Franklin County (614) 966-1690
MS. VASTY KLUTSE DNP, NP-C
Nurse Practitioner (Family)
6011 CLEVELAND AVE STE B
COLUMBUS, OH 43231
Franklin County (614) 966-1690
HEALTH RESOLUTION LLC
Nurse Practitioner (Psychiatric/Mental Health)
6011 CLEVELAND AVE STE B
COLUMBUS, OH 43231
Franklin County (614) 254-2543
KUINMED LLC
Nurse Practitioner (Family)
6011 CLEVELAND AVE STE B
COLUMBUS, OH 43231
Franklin County (614) 966-1690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nickette Depass-surgeon's NPI number?

The NPI number for Nickette Depass-surgeon is 1861200651. It was assigned to this individual provider in the NPPES registry on December 25, 2024.

Where is Nickette Depass-surgeon located?

Nickette Depass-surgeon practices at 6011 Cleveland Ave Ste B, Columbus, OH 43231. The listed phone number is (614) 966-1690.

What is Nickette Depass-surgeon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nickette Depass-surgeon enrolled in Medicare?

Yes. Nickette Depass-surgeon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nickette Depass-surgeon accept?

Health plans from CareSource list Nickette Depass-surgeon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nickette Depass-surgeon was last updated on December 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.