Individual provider Active NPI

Larry Cicero, CRNA

  • Certified Registered Nurse Anesthetist
  • Ephrata, PA
National Provider Identifier
1285663161
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
073182 Issued in PA
Practice address
169 Martin Ave
Ephrata, PA 17522-1724
Phone
(717) 733-0311
Fax
(717) 733-0876
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 073182 PA Primary

Addresses

Primary practice location

169 Martin Ave
Ephrata, PA 17522-1724

Mailing address

129 Snavely Mill Rd
Lititz, PA 17543-7971
Phone (717) 626-8057

Other practice location 1

4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone (717) 859-5160

Other practice location 2

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7500

Other practice location 3

1001 S George St
York, PA 17403-3676
Phone (717) 812-7687

Other practice location 4

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7164

Other practice location 5

12 St Paul Dr
Chambersburg, PA 17201-1035
Phone (717) 217-6072

Other practice location 6

25 Monument Rd Ste 270
York, PA 17403-5073
Phone (717) 741-8250

Other practice location 7

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0811

Other practice location 8

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3425

Other practice location 9

55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425

Other practice location 10

835 5th Ave
Chambersburg, PA 17201-4220
Phone (717) 217-4312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000078 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537127527 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 733-0311

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

810 Plaza Blvd
Suite 101
Lancaster, PA 17601-2762
Phone (717) 431-2368

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
073182PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ephrata Community Hospital CurrentSince Oct 1, 2008 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Orthopedic Assoc of Lancaster LTD Nurse Anesthetist, Certified Registered CurrentSince Nov 28, 2022 Accepting new patients
Lehigh Anesthesia Associates, P.C. CurrentSince Apr 1, 2017 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2025 Accepting new patients
Prime Anesthesia Associates PC CurrentSince May 1, 2018 Accepting new patients
Ephrata Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2008 Accepting new patients
Wellspan Medical Group CurrentSince May 11, 2024 Accepting new patients
Wellspan Medical Group CurrentSince May 11, 2024 Accepting new patients
Orthopedic Assoc of Lancaster LTD CurrentSince Nov 28, 2022 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Mar 1, 2025 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Lanaster General Hospital Nurse Anesthetist, Certified Registered PastSince Sep 1, 2020 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

835 5th Ave
Chambersburg, PA 17201
Phone (717) 217-4312

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

4150 Barrett Blvd
Ephrata, PA 17522
Phone (717) 738-5648

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

810 Plaza Blvd
Ste 101
Lancaster, PA 17601
Phone (717) 431-2368

170 N Pointe Blvd
Lancaster, PA 17601

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

1001 S George St
York, PA 17403
Phone (717) 812-7687

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

55 Monument Rd
York, PA 17403
Phone (717) 741-5257

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1285663161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SNAVELY MILL RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437971",
            "telephone_number": "717-626-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221724",
            "telephone_number": "717-733-0311",
            "fax_number": "717-733-0876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Barrett Blvd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-859-5160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-812-7687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-267-7164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035073",
            "country_code": "US",
            "telephone_number": "717-741-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-690-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-3425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035023",
            "country_code": "US",
            "telephone_number": "717-812-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014220",
            "country_code": "US",
            "telephone_number": "717-217-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICERO",
        "first_name": "LARRY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "073182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.