KRISTA S PRIMLEY
NPI 1073013025
Dentist - Oral and Maxillofacial Surgery in Green Bay, WI

Active since February 16, 2018PECOS EnrolledAccepts Medicare Assignment
2581 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 347-0400(920) 347-0868 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2026, Feb 6, 2024, Aug 14, 2023 and 3 more (6 updates tracked since 2018).

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

NPI1073013025
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameKRISTA S PRIMLEY
Location Address2581 DEVELOPMENT DRGreen Bay, WI 54311-4247
Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 490-9046 · Fax (920) 405-8005
Fax(920) 347-0868
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 16, 2018
Last NPPES UpdateMay 19, 20266 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1073013025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in WI · 6001396 Licensed in MN · D14292
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RES-30533 (IA)
2581 DEVELOPMENT DR, Green Bay, WI 54311

Secondary Practice Locations 5

Location 1636 N 12th AveSturgeon Bay, WI 54235-1249 · Phone (920) 743-2001 · Fax (920) 347-0868
Location 2930 Maritime DrManitowoc, WI 54220-2961 · Phone (920) 682-9121 · Fax (920) 347-0868
Location 3200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 356-7339
Location 4515 Delaware St SEMinneapolis, MN 55455 · Phone (612) 624-8600
Location 58515 Eagle Point Blvd Ste 200Lake Elmo, MN 55042-8624 · Phone (651) 523-9950

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1456607217
PECOS Enrollment IDI20240213000374
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.

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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Nurse Practitioner (Family)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Oral & Maxillofacial Surgery
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Nurse Practitioner
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Periodontics)
2581 DEVELOPMENT DR, SUITE 204
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.

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 14 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 with the weekly NPPES data releases published by CMS.