Individual provider Active NPI

Alice C Dastrup, ARNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Tucson, AZ
National Provider Identifier
1053859595
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9373496 Issued in FL
Practice address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone
(520) 742-9000
NPI assigned
Feb 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA223045 ME
Certified Registered Nurse Anesthetist 367500000X 327097 AZ
Certified Registered Nurse Anesthetist 367500000X ARNP9373496 FL Primary

Addresses

Primary practice location

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

3100 Weston Rd
Weston, FL 33331-3602
Phone (972) 816-6121

Other practice location 1

1000 36th St Ste 244
Vero Beach, FL 32960-4862
Phone (972) 816-6121

Other practice location 2

10 Wayman Ln
Bar Harbor, ME 04609-1625
Phone (972) 816-6121

Other practice location 3

3100 Weston Rd
Weston, FL 33331-3602
Phone (972) 816-6121

Other names 1

  • Alice Celeste Ballard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR, WV, MO, GA, AZ, TN, WA8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20170502002643 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709163629 Reassigns benefits to 6 organizations
I20240624001310 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709163629 Reassigns benefits to 2 organizations
I20250321002546 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709163629 Reassigns benefits to 1 organization
I20250506002562 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709163629 Reassigns benefits to 1 organization
I20250519001716 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709163629 Reassigns benefits to 1 organization
I20250804003151 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709163629 Reassigns benefits to 1 organization
I20251120001300 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709163629 Reassigns benefits to 1 organization
I20260610000403 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709163629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Georgia - TCS, PCGroup PAC ID 3971024910, 112 clinicians
Kaiser Foundation Health Plan of the NorthwestGroup PAC ID 5799688230, 1,805 clinicians
Anesthesia Medical Group, P.C.Group PAC ID 6901702307, 439 clinicians
Capital Anesthesia Solutions of Missouri LLCGroup PAC ID 1456764885, 75 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians
Hospitalist Medicine Physicians of Washington - TCSGroup PAC ID 6800240102, 197 clinicians

Practice addresses (Care Compare)

100 Frist CT
Columbus, GA 31909-3578
Phone (706) 494-2100

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

110 29TH Ave N
Nashville, TN 37203-1448
Phone (615) 327-4304

110 29TH N Ave
Suite 202
Nashville, TN 37203-1448
Phone (615) 327-4304

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

2316 E Meyer Blvd
HCA Research Medical Center
Kansas City, MO 64132-1136
Phone (816) 276-4000

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289
  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
40095TNMDNurse Practitioner
ARNP9373496FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Capital Anesthesia Solutions of Missouri, LLC CurrentSince Feb 27, 2025 Accepting new patients
Hospitalist Medicine Physicians of Georgia - TCS, PC CurrentSince Apr 7, 2025 Accepting new patients
University of Miami Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Miami Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Rory Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Jul 11, 2025 Accepting new patients
Anesthesia Associates of Greater Miami, PA CurrentSince Mar 20, 2017 Accepting new patients
University of Miami CurrentSince Aug 12, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 18, 2024 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince May 12, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 18, 2024 Accepting new patients
University of Miami CurrentSince Aug 12, 2021 Accepting new patients
Hospitalist Medicine Physicians of West Virginia - South Charleston CurrentSince Dec 4, 2024 Accepting new patients
Mount Desert Island Hospital Past Accepting new patients

Locations (25 of 33)

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2801 NE 213th St
Ste 901
Miami, FL 33180
Phone (352) 256-2855

2441 SW 37th Ave
Miami, FL 33145
Phone (305) 442-0055

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6110 SW 70th St
South Miami, FL 33143
Phone (305) 662-3100

1881 W Kennedy Blvd
Ste C
Tampa, FL 33606
Phone (813) 693-5000

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1000 36th St
Ste 244
Vero Beach, FL 32960
Phone (772) 778-9621

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

3100 Weston Rd
Weston, FL 33331
Phone (954) 689-5000

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: adastrupcrna1236366@direct.ccf.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1053859595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WESTON RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313602",
            "telephone_number": "972-816-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-742-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 36th St Ste 244",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329604862",
            "country_code": "US",
            "telephone_number": "972-816-6121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Wayman Ln",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091625",
            "country_code": "US",
            "telephone_number": "972-816-6121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Weston Rd",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333313602",
            "country_code": "US",
            "telephone_number": "972-816-6121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASTRUP",
        "first_name": "ALICE",
        "middle_name": "C",
        "credential": "ARNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA223045",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "327097",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9373496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "BALLARD",
            "middle_name": "CELESTE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.

Verify at the official NPI Registry.