KRISTA S PRIMLEY
NPI 1073013025
Dentist - Oral and Maxillofacial Surgery in Green Bay, WI
About Krista S Primley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTA S PRIMLEY (NPI 1073013025) is an individual oral and maxillofacial surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (6001396) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Accepted 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
Krista S Primley 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.
Medicare Billing Reassignments
2Medicare enrollment records show Krista Primley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 275 clinicians in this Medicare group
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
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 54311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54311
GREEN BAY, WI 54311
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 Krista Primley's NPI number?
The NPI number for Krista Primley is 1073013025. It was assigned to this individual provider in the NPPES registry on February 16, 2018.
Where is Krista Primley located?
Krista Primley practices at 2581 Development Dr, Green Bay, WI 54311. The listed phone number is (920) 347-0400.
What is Krista Primley's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Krista Primley enrolled in Medicare?
Yes. Krista Primley 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 Krista Primley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krista Primley reassigns Medicare benefits to 2 organizations: Baycare Clinic LLP (Green Bay, WI) and Group Health, Inc. (Stillwater, MN). 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 Krista Primley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krista Primley accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 15 other insurers list Krista Primley 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 Krista Primley was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Krista S Primley · NPI 1073013025
Oral and Maxillofacial Surgery provider in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since February 16, 2018.
## Identity
- **NPI:** 1073013025 (Entity type: Individual)
- **Enumerated:** February 16, 2018
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 6001396 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2581 DEVELOPMENT DR, Green Bay, WI 54311-4247
- **Phone:** (920) 347-0400 · **Fax:** (920) 347-0868
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Baycare Clinic LLP (NPI 1588609648, Green Bay, WI); Group Health, Inc. (NPI 1578932943, Stillwater, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073013025) · Data from the CMS NPPES public registry.