LARRY DEAN MELLOTT CRNA
NPI 1053932749
Nurse Anesthetist, Certified Registered in Ephrata, PA
About Larry Dean Mellott Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARRY DEAN MELLOTT CRNA (NPI 1053932749) is an individual nurse anesthetist, certified registered in Ephrata, Pennsylvania, licensed in Pennsylvania (RN645912) and active in the NPI registry since May 2020. He is affiliated with Wellspan Ephrata Community Hospital, maintains 10 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
(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.
Secondary Practice Locations 10
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
Larry Dean Mellott 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan Ephrata Community Hospital
Acute Care Hospitals · Ephrata, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17522 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EPHRATA, PA 17522
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 Larry Mellott's NPI number?
The NPI number for Larry Mellott is 1053932749. It was assigned to this individual provider in the NPPES registry on May 4, 2020.
Where is Larry Mellott located?
Larry Mellott practices at 169 Martin Ave, Ephrata, PA 17522. The listed phone number is (717) 738-6618.
What is Larry Mellott's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Larry Mellott enrolled in Medicare?
Yes. Larry Mellott 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.
Is Larry Mellott affiliated with any hospitals?
According to CMS data, Larry Mellott is affiliated with Wellspan Ephrata Community Hospital.
When was this NPI record last updated?
The NPPES record for Larry Mellott was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
