MR. LARRY MICHAEL PICKETT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063413813

MR. LARRY MICHAEL PICKETT (CRNA) is a healthcare provider. based in Bryan, Ohio. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. APRN.CRNA.08426 (OH). The NPI Number for MR. LARRY MICHAEL PICKETT (CRNA) is 1063413813

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. LARRY MICHAEL PICKETT (CRNA)
NPI
1063413813
Phone
(419) 636-1131
Address
433 W HIGH ST
Enumeration Date
2 August 2005
Last Update Date
17 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4194452015
Graduation Year
1996 (30 years ago)
PAC ID
3779519392
Group Practice PAC ID
2264412444
Professional Enrollment ID
I20060215000512
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. LARRY MICHAEL PICKETT (CRNA)

  • Bryan Hospital, 433, West High Street, Bryan Downtown Historic District, Bryan, Pulaski, Williams County, Ohio, 43506, United States

    BRYAN, OH 435061690

    Phone: (419) 636-1131

    Fax: (419) 636-3100

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 43506)

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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: 2264412444View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
-IN
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)IN
-IN
-OH
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)IN

Reviews

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Frequently asked questions

What federal number belongs to MR. LARRY MICHAEL PICKETT (CRNA)?
The federal identifier for MR. LARRY MICHAEL PICKETT (CRNA) is NPI 1063413813.
Is MR. LARRY MICHAEL PICKETT (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MR. LARRY MICHAEL PICKETT (CRNA)'s specialty in plain language?
Clinically, the directory lists MR. LARRY MICHAEL PICKETT (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MR. LARRY MICHAEL PICKETT (CRNA) practice in Ohio?
You will see Bryan, Ohio on file for MR. LARRY MICHAEL PICKETT (CRNA) alongside any extra practice locations.
Is MR. LARRY MICHAEL PICKETT (CRNA) a real provider?
This page reflects official NPPES data for NPI 1063413813. Always confirm identity and privileges with the practice and licensing boards.

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