KRISTINA YVONNE GIBSON PA
NPI 1255845517
Surgery - Pediatric Surgery in Phoenix, AZ

Q: What is Kristina Gibson's NPI number?

The NPI number for Kristina Gibson is 1255845517. It was assigned to this individual provider in the NPPES registry on November 24, 2017. The provider is also known as Kristina Yvonne Keilson.

Q: What is Kristina Gibson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Kristina Gibson was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 24, 2017PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1000 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2021, Nov 24, 2017 (2 updates tracked since 2017).

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About Kristina Yvonne Gibson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINA YVONNE GIBSON PA (NPI 1255845517) is an individual pediatric surgery provider in Phoenix, Arizona, licensed in Arizona (6879) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255845517

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameKRISTINA YVONNE GIBSONCredential: PA

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1813

Phone(602) 933-1000

Sole ProprietorNo

Enumeration DateNovember 24, 2017

Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration

NPPES CertifiedDecember 30, 2021

✔ NPI 1255845517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in AZ · 6879✔ Licensed in AZ · 6978

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 6978 (AZ)

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 6978 (AZ)

1919 E THOMAS RD, Phoenix, AZ 85016

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Other Names 1

Former Name (1)Kristina Yvonne Keilson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Yvonne Gibson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMUR RAGHIB M.D.

Hospitalist