MR. KEITH GIST (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043637838

MR. KEITH GIST (CRNA) is a healthcare provider. based in Stanton, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 102120 (TX). The NPI Number for MR. KEITH GIST (CRNA) is 1043637838

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEITH GIST (CRNA)
NPI
1043637838
Phone
(432) 607-3200
Address
600 East Interstate 20
Enumeration Date
18 March 2014
Last Update Date
24 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4322673806
Graduation Year
2014 (12 years ago)
PAC ID
0648491399
Group Practice PAC ID
0941285498
Professional Enrollment ID
I20210505002241
Address ID
TX797202429BI306XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for MR. KEITH GIST (CRNA)

  • 600 East Interstate 20

    Stanton, TX 797820640

    Phone: (432) 607-3200

    Fax: (432) 607-3644

    Type: Location

  • PO BOX 4157

    MIDLAND, TX 797044157

    Phone: (432) 699-0225

    Type: Mailing

  • 4519 N GARFIELD ST STE 15

    MIDLAND, TX 797053400

    Phone: (432) 699-0225

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141021002148ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20210505002241ICertified Registered Nurse Anesthetist (Crna)KSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79782)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941285498View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerTX
Neurology, PsychiatryTX
N E U R O S U R G E R YTX
Family PracticeTX
N E U R O L O G YTX
Physician AssistantTX
Orthopedic SurgeryTX
N E U R O L O G YTX

Reviews

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Frequently asked questions

Is there an official ID for MR. KEITH GIST (CRNA) in U.S. healthcare records?
The official identifier for MR. KEITH GIST (CRNA) is NPI 1043637838.
Would MR. KEITH GIST (CRNA) appear as active to a payer?
You can treat MR. KEITH GIST (CRNA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MR. KEITH GIST (CRNA)'s focus?
For MR. KEITH GIST (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Texas is MR. KEITH GIST (CRNA) registered?
Use Stanton, Texas as the headline location for MR. KEITH GIST (CRNA) here.
Can I trust this NPI listing for MR. KEITH GIST (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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