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DR. KEITH MICHAEL KRIST M.D.
NPI 1790760841
Pediatrics in Fort Walton Beach, FL

Active since December 13, 2005PECOS Enrolled
1005 MAR WALT DRIVE, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 32547(850) 863-8203(850) 862-0977 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Keith Michael Krist M.d. NPPES

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

DR. KEITH MICHAEL KRIST M.D. (NPI 1790760841) is an individual pediatrics provider in Fort Walton Beach, Florida, licensed in Florida (ME85707) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790760841
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KEITH MICHAEL KRISTCredential: M.D.
Location Address1005 MAR WALT DRIVE, PEDIATRIC DEPARTMENTFort Walton Beach, FL 32547
Mailing Address1005 Mar Walt Drive, Pediatric DepartmentFort Walton Beach, FL 32547 · (850) 863-8203 · Fax (850) 862-0977
Phone(850) 863-8203
Fax(850) 862-0977
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateJanuary 16, 2017
✔ NPI 1790760841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME85707
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1005 MAR WALT DRIVE, Fort Walton Beach, FL 32547
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Other Identifiers 4

Medicaid265080100FL
Other51445FL · Bcbsfl
Medicare UPINH67863
Medicare PIN51445YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith Michael Krist M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Keith Krist reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clay County Medical Corporation
243 mi
Urology
100 WILBURN WAY STE A
Starkville, MS 39759
  • Reassigned Medicare billing, Mississippi enrollment
  • 101 clinicians in this Medicare group
NPI 1124649678 (662) 498-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TIMOTHY DAVID SKINNER AU.D.
Audiologist
1005 MAR WALT DRIVE, AUDIOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8232
JULIE CLAUSEN POWELL FNP-BC
Nurse Practitioner (Family)
1005 MAR WALT DRIVE, CVS MINUTE CLINIC
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8219
HEATHER LUTZ SHELTON ARNP
Nurse Practitioner
1005 MAR WALT DRIVE, PEDIATRIC DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8203
DEBORAH LYNN GILMORE ARNP
Nurse Practitioner (Adult Health)
1005 MAR WALT DRIVE, PULMONOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-0118
CHINH VIEN VAN M.D.
Family Medicine
1005 MAR WALT DRIVE, IMMEDIATE CARE DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8219
MS. ELIZABETH GAYLE ANDERSON ARNP-C
Nurse Practitioner
1005 MAR WALT DRIVE, CARE COORDINATION DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8202
ERICA CLARKSON
Nurse Practitioner
1005 MAR WALT DRIVE, FAMILY MEDICINE DEPT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
DR. LESLIE R FLEISCHER M.D.
Internal Medicine (Cardiovascular Disease)
1005 MAR WALT DRIVE, CARDIOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Krist's NPI number?

The NPI number for Keith Krist is 1790760841. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Keith Krist located?

Keith Krist practices at 1005 Mar Walt Drive Pediatric Department, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-8203.

What is Keith Krist's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Keith Krist enrolled in Medicare?

Yes. Keith Krist is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Krist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Krist reassigns Medicare benefits to Clay County Medical Corporation (Starkville, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Krist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Krist accept?

Health plans from Cigna Healthcare and Molina Healthcare list Keith Krist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Krist was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.