EVELYN DENISE MOFFETT CRNA
NPI 1770012379
Nurse Anesthetist, Certified Registered in Melbourne, FL

Q: What is Evelyn Moffett's NPI number?

The NPI number for Evelyn Moffett is 1770012379. It was assigned to this individual provider in the NPPES registry on June 7, 2017. The provider is also known as Evelyn Denise Darrisaw.

Q: What is Evelyn Moffett'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 Evelyn Moffett was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 07, 2017Accepts Medicare Assignment

1350 HICKORY ST STE 102, MELBOURNE, FL 32901(321) 434-3455(321) 434-3456 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Mar 10, 2020, Oct 30, 2018 and 3 more (6 updates tracked since 2017).

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About Evelyn Denise Moffett Crna NPPES

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

EVELYN DENISE MOFFETT CRNA (NPI 1770012379) is an individual nurse anesthetist, certified registered in Melbourne, Florida, licensed in Florida (APRN9332088) and active in the NPI registry since June 2017. She is affiliated with Adventhealth Orlando, maintains a secondary practice location in Vero Beach, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770012379

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameEVELYN DENISE MOFFETTCredential: CRNA

Location Address1350 HICKORY ST STE 102Melbourne, FL 32901-3224

Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306

Phone(321) 434-3455

Fax(321) 434-3456

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 7, 2017

Last NPPES UpdateFebruary 21, 20266 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2026

✔ NPI 1770012379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code367500000X

License✔ Licensed in FL · APRN9332088

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 ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN9332088 (FL)

Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9332088 (FL)

1350 HICKORY ST STE 102, Melbourne, FL 32901

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Other Names 1

Former Name (1)Evelyn Denise Darrisaw

Secondary Practice Location 1

Location 12750 Indian River BlvdVero Beach, FL 32960-5225 · Phone (772) 569-9500

Other Identifiers 3

OtherP02169610FL · Fl Rr Medicare

Medicaid021420000FL

OtherJA626ZFL · Fl Medicare

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

Evelyn Denise Moffett 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 ID3274805007

PECOS Enrollment IDI20250212001804

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$13.33 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$64.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MRS. STEPHANIE LOUISE BATTAGLINI ARNP-C

Nurse Practitioner