What is Larry Mellott's NPI number?

Larry Mellott's National Provider Identifier (NPI) is 1053932749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Larry Mellott's specialty?

Larry Mellott is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).

Where is Larry Mellott located?

Larry Mellott's practice location on file with NPPES is 169 Martin Ave, Ephrata, PA 17522-1724.

What is Larry Mellott's phone number?

The practice phone number listed in the NPPES registry for Larry Mellott is (717) 738-6618.

Does Larry Mellott accept Medicare?

Larry Mellott is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Larry Mellott's NPI active?

Yes — Larry Mellott's NPI (1053932749) is active in the NPPES registry as of the last update on 2025-03-27.

IndividualActiveAccepts Medicare

Larry Mellott, CRNA

NPI 1053932749 · Certified Registered Nurse Anesthetist · Ephrata, PA

Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Larry Mellott, CRNA is a Certified Registered Nurse Anesthetist provider in Ephrata, PA (NPI 1053932749).

Provider details

NPI number: 1053932749
Entity type: Individual
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
Credential: CRNA
Sex: Male
Sole proprietor: No
License: RN645912 (PA)

Specialties & taxonomies

Certified Registered Nurse AnesthetistPrimary367500000XLicense RN645912 (PA)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
11 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

169 Martin Ave

Ephrata, PA 17522-1724

Phone: (717) 738-6618

Fax: (717) 738-6646

Street-level locationGet directions

More PA providers

Mailing address

601 Memory Ln

York, PA 17402-2231

Additional practice locations (10)

112 N 7th St
Chambersburg, PA 17201-1720
Phone: (717) 267-7164
12 St Paul Dr Ste 100
Chambersburg, PA 17201-1035
Phone: (717) 217-6072
835 5th Ave
Chambersburg, PA 17201-4220
Phone: (717) 217-4312
4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone: (717) 859-5160
35 Erick Rd
Lancaster, PA 17601-3111
Phone: (717) 690-0811
252 S 4th St
Lebanon, PA 17042-6111
Phone: (717) 270-7500
501 E Main St
Waynesboro, PA 17268-2353
Phone: (717) 765-3425
1001 S George St
York, PA 17403-3676
Phone: (717) 812-7687
55 Monument Rd
York, PA 17403-5023
Phone: (717) 812-6425
25 Monument Rd Ste 270

Enumerated: 2020-05-04
Last updated: 2025-03-27
Certified: 2025-03-27

Frequently asked questions

What is Larry Mellott's NPI number?: Larry Mellott's National Provider Identifier (NPI) is 1053932749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Larry Mellott's specialty?: Larry Mellott is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
Where is Larry Mellott located?: Larry Mellott's practice location on file with NPPES is 169 Martin Ave, Ephrata, PA 17522-1724.
What is Larry Mellott's phone number?: The practice phone number listed in the NPPES registry for Larry Mellott is (717) 738-6618.
Does Larry Mellott accept Medicare?: Larry Mellott is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Larry Mellott's NPI active?: Yes — Larry Mellott's NPI (1053932749) is active in the NPPES registry as of the last update on 2025-03-27.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.