Active NPI
Evelyn Denise Moffett, CRNA
- Certified Registered Nurse Anesthetist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9332088
- Practice address
- 1350 Hickory St Ste 102
Melbourne, FL 32901-3224 - Phone
- (321) 434-3455
- Fax
- (321) 434-3456
- NPI assigned
- Jun 7, 2017
- Last updated
- Feb 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9332088 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN9332088 | FL | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9332088 | FL |
Addresses
Primary practice location
1350 Hickory St Ste 102
Melbourne, FL 32901-3224
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Other practice location 1
2750 Indian River Blvd
Vero Beach, FL 32960-5225
Phone (772) 569-9500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02169610 | Other | FL | FL RR MEDICARE |
| JA626Z | Other | FL | FL MEDICARE |
| 021420000 | Medicaid | FL |
Other names 1
- Evelyn Denise Darrisaw
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
8040 N Wickham Rd
Melbourne, FL 32940-8367
Phone (321) 757-7272
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9332088 | FL | MD | Critical Care Medicine Registered Nurse |
| ARNP9332088 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Florida Eye Institute Surgicenter LLC | Current | Accepting new patients | |
| Lovelock Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tahoe Sierra Eye & Optical, a Medical Corporation | Current | Accepting new patients |
Locations
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
8040 N Wickham Rd
Melbourne, FL 32940
Phone (321) 757-7272
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
2750 Indian River Blvd
Vero Beach, FL 32960
Phone (561) 569-9500
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba JLR Anesthesia Assoc
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Vero Beach, FL
- NPI 1598700676
-
- Certified Registered Nurse Anesthetist
- Melbourne, FL
- NPI 1649745035
Nurse Anesthetist, Certified Registered
-
- Specialist
- Truckee, CA
- NPI 1982736252
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771632000000",
"number": "1770012379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-3455",
"fax_number": "321-434-3456"
}
],
"practiceLocations": [
{
"address_1": "2750 Indian River Blvd",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329605225",
"country_code": "US",
"telephone_number": "772-569-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOFFETT",
"first_name": "EVELYN",
"middle_name": "DENISE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2026-02-21",
"certification_date": "2026-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9332088",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9332088",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "RN9332088",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL RR MEDICARE",
"identifier": "P02169610",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "JA626Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021420000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EVELYN",
"last_name": "DARRISAW",
"middle_name": "DENISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.