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KEISTON F BENNETT
NPI 1902304017
Nurse Anesthetist, Certified Registered in Fort Worth, TX

Active since January 24, 2018Accepts Medicare Assignment
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-3431 Get Directions Write a Review

NPPES record last updated: December 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2018, Mar 17, 2018 (2 updates tracked since 2018).

About Keiston F Bennett NPPES

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

KEISTON F BENNETT (NPI 1902304017) is an individual nurse anesthetist, certified registered in Fort Worth, Texas, licensed in Texas (AP136258) and active in the NPI registry since January 2018. He is affiliated with Jps Health Network, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902304017
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEISTON F BENNETT
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1500 S Main StFort Worth, TX 76104-4917 · (903) 691-9988
Phone(817) 702-3431
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 24, 2018
Last NPPES UpdateDecember 9, 20182 updates tracked since enumeration
✔ NPI 1902304017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · AP136258
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1500 S MAIN ST, Fort Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-3431

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keiston F Bennett is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325309818
PECOS Enrollment IDI20180226000289

Medicare Billing Reassignments

5

Medicare enrollment records show Keiston Bennett reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Physicians Anesthesiology Of Texas PLLC
Same address
Anesthesiology
1500 S MAIN ST
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 509 clinicians in this Medicare group
NPI 1295356277 (817) 702-3431
Healthtexas Provider Network
1.0 mi
Anesthesiology
1400 8TH AVE # C770
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1295628709 (817) 922-1770
Emergenchealth PLLC
5.1 mi
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group
NPI 1467970897 (972) 861-1270
Ntx Anesthesiology Consultants PLLC
35 mi
Anesthesiology
2400 N I 35
Waxahachie, TX 75165
  • Reassigned Medicare billing, Texas enrollment
  • 234 clinicians in this Medicare group
NPI 1912410739 (855) 285-2455
Ad Of Texas PLLC
165 mi
Anesthesiology
8015 SHOAL CREEK BLVD, SUITE 300
Austin, TX 78757
  • Reassigned Medicare billing, Texas enrollment
  • 48 clinicians in this Medicare group
NPI 1730959966 (888) 851-4642

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

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly

Medical City Arlington

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450675
Location3301 Matlock RoadArlington, TX 76015 · Tarrant County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450851
Location621 North Hall StreetDallas, TX 75226 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
5%172 patients1/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%63 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Keiston Bennett's NPI number?

The NPI number for Keiston Bennett is 1902304017. It was assigned to this individual provider in the NPPES registry on January 24, 2018.

Where is Keiston Bennett located?

Keiston Bennett practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3431.

What is Keiston Bennett's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Keiston Bennett enrolled in Medicare?

Yes. Keiston Bennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Keiston Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keiston Bennett reassigns Medicare benefits to 5 organizations: Sound Physicians Anesthesiology Of Texas PLLC (Fort Worth, TX), Healthtexas Provider Network (Fort Worth, TX), Emergenchealth PLLC (Fort Worth, TX), Ntx Anesthesiology Consultants PLLC (Waxahachie, TX) and Ad Of Texas PLLC (Austin, TX). Each 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 Keiston Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keiston Bennett accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Keiston Bennett 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.

Is Keiston Bennett affiliated with any hospitals?

According to CMS data, Keiston Bennett is affiliated with Jps Health Network, Baylor Scott & White Medical Center- Waxahachie, Medical City Arlington and Baylor Scott & White Heart & Vascular Hospital - Dallas.

When was this NPI record last updated?

The NPPES record for Keiston Bennett was last updated on December 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.