ELDINE CICERON – Critical Care Medicine Registered Nurse, NPI 1023747367

ELDINE CICERON is a healthcare provider. based in New york, New York. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 26NJ15372600 (NJ). The NPI Number for ELDINE CICERON is 1023747367

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ELDINE CICERON
NPI
1023747367
Phone
(212) 305-4318
Address
560 W 168TH ST
Enumeration Date
9 June 2022
Last Update Date
10 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2018716073
Graduation Year
2016 (10 years ago)
PAC ID
3870092166
Group Practice PAC ID
0749194868
Professional Enrollment ID
I20250814003126
Address ID
NJ076311808EN350XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,475 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NY

Provider Addresses for ELDINE CICERON

  • 560 W 168TH ST

    NEW YORK, NY 100323917

    Phone: (212) 305-4318

    Type: Mailing

  • 83 SOMERSET DR

    SUFFERN, NY 109016905

    Phone: (845) 821-0058

    Type: Mailing

  • 350 ENGLE ST

    ENGLEWOOD, NJ 076311808

    Phone: (845) 821-0058

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250814003126ICertified Registered Nurse Anesthetist (Crna)NJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 10032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749194868View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNJ
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YNJ
-NY
-NY
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)NJ
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YLA
Certified Registered Nurse Anesthetist (Crna)NJ

Reviews

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Frequently asked questions

What unique ID ties claims to ELDINE CICERON?
NPI 1023747367 is assigned to ELDINE CICERON under the national enumeration system.
Is ELDINE CICERON active in the national directory?
ELDINE CICERON's public NPI profile is in an active state.
What kind of provider is ELDINE CICERON?
The page reflects Critical Care Medicine Registered Nurse for ELDINE CICERON. Clinical services aligned with this taxonomy classification.
Where is ELDINE CICERON's primary listing?
We display New York, New York because that is what the record indicates for ELDINE CICERON.
How can I contact ELDINE CICERON?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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