Individual provider Active NPI

Keith Gist, CRNA

  • Certified Registered Nurse Anesthetist
  • Midland, TX
National Provider Identifier
1043637838
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
758719 Issued in TX
Practice address
4519 N Garfield St Ste 15
Midland, TX 79705-3400
Phone
(432) 699-0225
NPI assigned
Mar 18, 2014
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 758719 TX Primary
Pain Management Registered Nurse 163WP0000X 102120 TX

Addresses

Primary practice location

4519 N Garfield St Ste 15
Midland, TX 79705-3400

Mailing address

PO Box 4157
Midland, TX 79704-4157
Phone (432) 699-0225

Other practice location 1

600 East Interstate 20
Stanton, TX 79782-0640
Phone (432) 607-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141021002148 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648491399 Reassigns benefits to 7 organizations
I20210505002241 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648491399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reeves County Hospital DistrictGroup PAC ID 2567353469, 25 clinicians
Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians
Martin County Hospital DistrictGroup PAC ID 8527958552, 29 clinicians

Practice addresses (Care Compare)

2349 Medical Dr
Pecos, TX 79772-2251
Phone (432) 447-3551

306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806

600 E
Suite 20
Stanton, TX 79782-0640
Phone 43260732003225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102120TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains of Cheyenne Co. Inc CurrentSince Mar 29, 2021 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Jun 1, 2021 Accepting new patients
Reeves County Hospital District CurrentSince Dec 1, 2025 Accepting new patients
County of Ward CurrentSince Dec 29, 2018 Accepting new patients
Mitchell County Hospital District CurrentSince Mar 30, 2023 Accepting new patients
Reeves County Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Martin County Hospital District Pain Management CurrentSince Jun 1, 2016 Accepting new patients
County of Ward CurrentSince Dec 29, 2018 Accepting new patients
Martin County Hospital District Current Accepting new patients
County of Ward Current Accepting new patients
Mitchell County Hospital District CurrentSince Mar 30, 2023 Accepting new patients
Great Plains of Cheyenne Co. Inc CurrentSince Mar 29, 2021 Accepting new patients
County of Ward Current Accepting new patients
Global Anesthesia Services PLLC CurrentSince Mar 3, 2020 Accepting new patients
Great Plains of Cheyenne Co Inc Current Accepting new patients
Great Plains of Cheyenne Co. Inc Current Accepting new patients
Reeves County Hospital District Past Accepting new patients

Locations

210 W 1st St
Saint Francis, KS 67756
Phone (785) 332-2104

221 W 1st St
Saint Francis, KS 67756
Phone (785) 332-2381

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

997 W Interstate 20
Colorado City, TX 79512
Phone (325) 728-3431

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

2106 N Midland Dr
Ste 100
Midland, TX 79707
Phone (432) 423-2272

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

2323 Texas St
Pecos, TX 79772
Phone (432) 447-3551

2349 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 4

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": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1043637838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4157",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797044157",
            "telephone_number": "432-699-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 N GARFIELD ST STE 15",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053400",
            "telephone_number": "432-699-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 East Interstate 20",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "TX",
            "postal_code": "797820640",
            "country_code": "US",
            "telephone_number": "432-607-3200",
            "fax_number": "432-607-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIST",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-18",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "758719",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "TX",
            "license": "102120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.