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

Miss. Kaelyn Elizabeth Cicco, RPA-C

Individual provider Medical Physician Assistant · NPI 1902115785

Miss. Kaelyn Elizabeth Cicco, RPA-C is a Physician Assistant in East Syracuse, New York. Qualified in 2010, 16 years ago. Practices with Crouse Medical Practice PLLC, a 189-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
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Practice location Address checks out

5800 Heritage Landing Dr Ste C
East Syracuse, NY 13057-9378
Phone: (314) 445-2701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 014312 (NY)

Record details

NPI number1902115785
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2010
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Crouse Medical Practice Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in East Syracuse