Individual provider Active NPI

Austyn Patrice Belle Isle, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbia, MO
National Provider Identifier
1417210949
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2012015031 Issued in MO
Practice address
1 Hospital Dr
Columbia, MO 65201-5276
Phone
(573) 882-2568
Fax
(573) 882-2226
NPI assigned
Jun 19, 2012
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2012015031 MO Primary

Addresses

Primary practice location

1 Hospital Dr
Columbia, MO 65201-5276

Mailing address

108 S Garth Ave
Columbia, MO 65203-3418
Phone (573) 268-3329

Other practice location 1

210 Portland St Ste 100
Columbia, MO 65201-6677
Phone (573) 777-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121105000233 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204087067 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Associates, LLCGroup PAC ID 9537166236, 30 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-2100

210 Portland St
Suite 100
Columbia, MO 65201-6677
Phone (573) 777-8818

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012015031MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson City Medical Group, P.C. Current Accepting new patients
The Curators of the University of Missouri CurrentSince Aug 29, 2012 Accepting new patients
Jefferson City Medical Group, P.C. CurrentSince Jan 25, 2021 Accepting new patients
Curators of the University of Missouri CurrentSince Aug 29, 2012 Accepting new patients
Ambulatory Anesthesia Services of St. Charles, LLC CurrentSince Aug 15, 2018 Accepting new patients
Jefferson City Medical Group, P.C. CurrentSince Jan 25, 2021 Accepting new patients
Jefferson City Medical Group, P.C. Current Accepting new patients
Gastrointestinal Associates, LLC CurrentSince Dec 19, 2018 Accepting new patients

Locations

1 Hospital Dr
Columbia, MO 65201
Phone (573) 882-2568

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

210 Portland St
Ste 100
Columbia, MO 65201
Phone (573) 777-8818

10 S Hospital Dr
Fulton, MO 65251
Phone (573) 592-6550

1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

4203 S Cloverleaf Dr
Saint Peters, MO 63376
Phone (636) 346-6051

Interoperability endpoints

  • FHIR API: https://ff23a4b4-465d-44fa-a7d8-99a59a9660e5.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1417210949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S GARTH AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033418",
            "telephone_number": "573-268-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015276",
            "telephone_number": "573-882-2568",
            "fax_number": "573-882-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Portland St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016677",
            "country_code": "US",
            "telephone_number": "573-777-8818",
            "fax_number": "573-777-8819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLE ISLE",
        "first_name": "AUSTYN",
        "middle_name": "PATRICE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2012015031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.