Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larry Dean Mellott, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1053932749

Larry Dean Mellott, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Ephrata, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 11 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

169 Martin Ave
Ephrata, PA 17522-1724
Phone: (717) 738-6618
Fax: (717) 738-6646
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 112 N 7th St, Chambersburg, PA 17201-1720 — (717) 267-7164
  • 12 St Paul Dr Ste 100, Chambersburg, PA 17201-1035 — (717) 217-6072
  • 835 5th Ave, Chambersburg, PA 17201-4220 — (717) 217-4312
  • 4150 Barrett Blvd, Ephrata, PA 17522-8979 — (717) 859-5160
  • 35 Erick Rd, Lancaster, PA 17601-3111 — (717) 690-0811
  • 252 S 4th St, Lebanon, PA 17042-6111 — (717) 270-7500
  • 501 E Main St, Waynesboro, PA 17268-2353 — (717) 765-3425
  • 55 Monument Rd, York, PA 17403-5023 — (717) 812-6425
  • 25 Monument Rd Ste 270, York, PA 17403-5073 — (717) 741-8250
  • 1001 S George St, York, PA 17403-3676 — (717) 812-7687

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN645912 (PA)

Record details

NPI number1053932749
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 4, 2020
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ephrata