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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

4

Medicare enrollment records show Evelyn Moffett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lovelock Anesthesia LLC
11 mi
Nurse Anesthetist, Certified Registered
8040 N WICKHAM RD
Melbourne, FL 32940
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1649745035 (239) 246-0512
Central Brevard Anesthesiologists, PA
18 mi
Anesthesiology
110 LONGWOOD AVE, ATTN: 2ND FLOOR OPERATING ROOM
Rockledge, FL 32955
  • Reassigned Medicare billing, Florida enrollment
  • 40 clinicians in this Medicare group
NPI 1205875671 (321) 637-2616
Florida Eye Institute Surgicenter LLC
33 mi
Ambulatory Surgical
2750 INDIAN RIVER BLVD
Vero Beach, FL 32960
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1598700676 (772) 569-9500
Us Anesthesia Partners Of Florida Inc.
61 mi
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
NPI 1518910520 (321) 422-7155

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100291
Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County
Emergency services

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
1350 HICKORY ST STE 102
MELBOURNE, FL 32901
Brevard County (321) 434-3452
MISS TABITHA LYNN HAYNES FNP
Nurse Practitioner
1350 HICKORY ST STE 102
MELBOURNE, FL 32901
Brevard County (321) 434-3455
MR. MIGUEL ANTONIO GARCIA PA-C
Physician Assistant (Surgical)
1350 HICKORY ST STE 102
MELBOURNE, FL 32901
Brevard County (321) 434-3455
EMILY CAROL VAN METER APRN
Nurse Practitioner (Adult Health)
1350 HICKORY ST STE 102
MELBOURNE, FL 32901
Brevard County (321) 434-3455
MATTHEW CAMPBELL MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1350 HICKORY ST STE 102
MELBOURNE, FL 32901
Brevard County (321) 434-3455
MR. JAMES C THORNTON MD,FCCP
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1350 HICKORY ST STE 102
MELBOURNE, FL 32901
Brevard County (321) 434-3455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Evelyn Moffett located?

Evelyn Moffett practices at 1350 Hickory St Ste 102, Melbourne, FL 32901. The listed phone number is (321) 434-3455.

What is Evelyn Moffett's specialty?

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

Is Evelyn Moffett enrolled in Medicare?

Yes. Evelyn Moffett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Evelyn Moffett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Moffett reassigns Medicare benefits to 4 organizations: Lovelock Anesthesia LLC (Melbourne, FL), Central Brevard Anesthesiologists, PA (Rockledge, FL), Florida Eye Institute Surgicenter LLC (Vero Beach, FL) and Us Anesthesia Partners Of Florida Inc. (Maitland, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evelyn Moffett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Evelyn Moffett affiliated with any hospitals?

According to CMS data, Evelyn Moffett is affiliated with Adventhealth Orlando and Melbourne Regional Medical Center.

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 8 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.