DERRICK T PREVATT CRNA
NPI 1174937403
Nurse Anesthetist, Certified Registered in Maitland, FL

Q: What is Derrick Prevatt's NPI number?

The NPI number for Derrick Prevatt is 1174937403. It was assigned to this individual provider in the NPPES registry on June 14, 2014.

Q: What is Derrick Prevatt's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Prevatt was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2014PECOS EnrolledAccepts Medicare Assignment

851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751(888) 339-8727 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Derrick T Prevatt Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK T PREVATT CRNA (NPI 1174937403) is an individual nurse anesthetist, certified registered in Maitland, Florida, licensed in Florida (APRN9285085) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Central Florida Lake Monroe Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174937403

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDERRICK T PREVATTCredential: CRNA

Location Address851 TRAFALGAR CT STE 200EMaitland, FL 32751-7420

Mailing Address851 Trafalgar Ct Ste 200eMaitland, FL 32751-7420 · (888) 339-8727

Phone(888) 339-8727

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 14, 2014

Last NPPES UpdateMarch 12, 2020

NPPES CertifiedMarch 12, 2020

✔ NPI 1174937403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in FL · APRN9285085

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License ARNP9285085 (FL)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License ARNP9285085 (FL)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License ARNP9285085 (FL)

851 TRAFALGAR CT STE 200E, Maitland, FL 32751

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derrick T Prevatt Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921301441

PECOS Enrollment IDI20191002002099

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100161

Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32751 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE MOTTLEY MD

Anesthesiology