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Active NPI 1497098412 Individual Practitioner Male Practitioner

Edwin Yanul Disla , CRNA

Nurse Anesthetist, Certified Registered • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Edwin Disla, CRNA is a certified Nurse Anesthetist, Certified Registered practicing in Melbourne, FL. With approximately 13 years of clinical experience since completing medical education in 2013, Edwin Disla delivers high-quality medical care to the local community at 1350 HICKORY ST.

Edwin Disla is affiliated with Ophthalmology Anesthesia Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for lens surgery, anesthesia for other procedure on urinary system through urethra, anesthesia for procedure on gastrointestinal tract using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1350 Hickory St

Melbourne, FL 329013224

Telephone 3214347000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Anesthetist, Certified Registered in Melbourne, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -6.4 yrs vs City Avg
City Avg: 19.4 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
50 Specialists

Practicing in Melbourne, FL (6544 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Disla (13 Years) 13 Yrs
Melbourne Specialty Average (19.4 Years) 19.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00142 Anesthesia for lens surgery
51 50 $465.53 $107.72

Medical Specialties & State Licenses

CMS Verified: 2026-06-29
Nurse Anesthetist, Certified Registered Primary Specialty

NUCC Taxonomy Code: 367500000X

State License FL APRN3089142

(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.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

State License FL RN3089142

(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.

Hospital & Practice Group Affiliations

Ophthalmology Anesthesia Services Llc

105 Bonnie Loch Ct, Orlando, FL 328062909

Phone: 4074280040

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mary Frances Hibbard , CRNFA

Registered Nurse - Medical-Surgical

NPI 1013994698
Dr. Charles Ehlenberger , MD

Radiology - Diagnostic Radiology

NPI 1063613180

Doctor of Medicine (M.D.)

Sharon Mathier

Social Worker - Clinical

NPI 1073222105
Dr. Dana Mathew , MD

Emergency Medicine

NPI 1073734356

Doctor of Medicine (M.D.)

Teldra Horne , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134921331

Advanced Registered Nurse Practitioner

Corey Wesenberg

Student in an Organized Health Care Education/Training Program

NPI 1154007847

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2013

Registered at 1350 HICKORY ST, MELBOURNE, FL 329013224 (Tel: 3214347000)

📍
Updated Business Mailing Address March 27, 2013

Registered at 11921 NAUTICA DR, ORLANDO, FL 328277119 (Tel: 3212788848)

👤
Provider Name / Credentials Updated March 27, 2013

Recorded as EDWIN DISLA, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2013

Nurse Anesthetist, Certified Registered (License #RN3089142 in FL)

🟢
Initial NPI Registration & Enumeration March 27, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497098412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2013
Last Update: June 29, 2026
Sole Proprietor: No

Mailing Address

11921 Nautica Dr

Orlando, FL 328277119

Phone: 3212788848

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.