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KAREN JILL CICCARELLI, M.D. PC
NPI 1619010170
Family Medicine in Williamsport, MD

Active since February 15, 2007CLIA 21D1065542 · Waiver
16605 KENDLE RD, WILLIAMSPORT, MD 21795(301) 223-4529(301) 223-1240 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Jill Ciccarelli, M.d. Pc NPPES

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

KAREN JILL CICCARELLI, M.D. PC (NPI 1619010170) is a healthcare organization registered as a family medicine in Williamsport, Maryland and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Karen Jill Ciccarelli, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619010170
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKAREN JILL CICCARELLI, M.D. PC
Location Address16605 KENDLE RDWilliamsport, MD 21795-1614
Mailing Address16605 Kendle RdWilliamsport, MD 21795-1614 · (301) 223-4529 · Fax (301) 223-1240
Phone(301) 223-4529
Fax(301) 223-1240
Organization SubpartNo
Authorized OfficialKaren Jill CiccarelliCeo · (301) 223-4529
Enumeration DateFebruary 15, 2007
Last NPPES UpdateMarch 17, 2008
✔ NPI 1619010170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0052136
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16605 KENDLE RD, Williamsport, MD 21795
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Other Identifiers 1

Medicare PIN464PMD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Jill Ciccarelli, M.d. Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Karen Jill Ciccarelli, M.D. PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jamie Worsley, D.O
Family Practice
NPI 1417375692
16605 KENDLE RD
Williamsport, MD 21795
(301) 223-1241
✔ PECOS✔ Accepts MedicareSame address
Karen Ciccarelli, M.D.
Family Practice
NPI 1508894023
16605 KENDLE RD
Williamsport, MD 21795
(301) 223-1241
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1065542

Karen Jill Ciccarelli MD PC · Williamsport, MD
Active · expires Mar 4, 2027
CLIA Number21D1065542
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorKaren J. Ciccarelli
Laboratory Phone(301) 223-1241
Laboratory LocationKaren Jill Ciccarelli MD PC16605 Kendle Road, Williamsport, MD 21795
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Karen Jill Ciccarelli, M.D. PC's NPI number?

The NPI number for Karen Jill Ciccarelli, M.D. PC is 1619010170. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Karen Jill Ciccarelli, M.D. PC located?

Karen Jill Ciccarelli, M.D. PC is located at 16605 Kendle Rd, Williamsport, MD 21795. The listed phone number is (301) 223-4529.

What is Karen Jill Ciccarelli, M.D. PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Jill Ciccarelli, M.D. PC enrolled in Medicare?

Yes. Karen Jill Ciccarelli, M.D. PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Karen Jill Ciccarelli, M.D. PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Karen Jill Ciccarelli, M.D. PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Karen Jill Ciccarelli, M.D. PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1065542) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Karen Jill Ciccarelli, M.D. PC was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.