Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nickette Donna Marie Depass-Surgeon, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1861200651

Nickette Donna Marie Depass-Surgeon, FNP is a Nurse Practitioner in Columbus, Ohio. Qualified in 2016, 10 years ago. Practices with Kuinmed, LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6011 Cleveland Ave Ste B
Columbus, OH 43231-2256
Phone: (614) 966-1690
Fax: (614) 368-0448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence APRN.CPN.0038251 (OH)

Record details

NPI number1861200651
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 25, 2024
Last updated in NPPESDecember 25, 2024
Certification dateDecember 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kuinmed, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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