Active NPI
Kimberly Ann Keel
- Certified Registered Nurse Anesthetist
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 901488
- Practice address
- 15200 Community Rd
Gulfport, MS 39503-3085 - Phone
- (228) 575-7000
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN072659 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | 901488 | MS | Primary |
Addresses
Primary practice location
15200 Community Rd
Gulfport, MS 39503-3085
Mailing address
7520 Woodland Dr
Pass Christian, MS 39571-4471
Phone (985) 273-8015
Other practice location 1
1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000
Other practice location 2
415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 261-3606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1569755 | Medicaid | LA | |
| 430057274 | Other | RR MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180410001577 | MS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8022030162 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Current | Accepting new patients | |
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| Etas, PLLC | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Singing River Health System | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Past | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
4500 13th St
Fl 2
Gulfport, MS 39501
Phone (228) 865-3281
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Gulfport, MS
- NPI 1861010159
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1639797913
-
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Singing River Gulfport
Practice addresses (Care Compare)
15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7000
Hospital & facility affiliations
- Singing River Gulfport
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1750345005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7520 WOODLAND DR",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395714471",
"telephone_number": "985-273-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 COMMUNITY RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033085",
"telephone_number": "228-575-7000"
}
],
"practiceLocations": [
{
"address_1": "1202 S Tyler St",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "LA",
"postal_code": "704332330",
"country_code": "US",
"telephone_number": "985-898-4000",
"fax_number": "985-898-4394",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 S 28th Ave",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394017246",
"country_code": "US",
"telephone_number": "601-261-3606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEEL",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN072659",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "901488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1569755",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE NUMBER",
"identifier": "430057274",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.