DR. KATRINA LYNN DESTREE M.D.
NPI 1295021079
Emergency Medicine in Green Bay, WI

Q: What is Katrina Destree's NPI number?

The NPI number for Katrina Destree is 1295021079. It was assigned to this individual provider in the NPPES registry on June 21, 2011. The provider is also known as Dr. Katrina Lynn Guckenberg M.D..

Q: What is Katrina Destree's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Katrina Destree was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment

2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-4060(920) 288-4067 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Apr 11, 2024, Aug 21, 2020 and 2 more (5 updates tracked since 2016).

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About Dr. Katrina Lynn Destree M.d. NPPES

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

DR. KATRINA LYNN DESTREE M.D. (NPI 1295021079) is an individual emergency medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (735-00) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and maintains a secondary practice location in Camp Lejeune.

NPPES Registry Identity

NPI1295021079

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. KATRINA LYNN DESTREECredential: M.D.

Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519

Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 490-9046 · Fax (920) 405-8005

Phone(920) 288-4060

Fax(920) 288-4067

Sole ProprietorYes

Medical School CMSMedical College Of WisconsinGraduated 2011

Enumeration DateJune 21, 2011

Last NPPES UpdateApril 21, 20265 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1295021079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WI · 735-00✔ Licensed in VA · 0101252351

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2845 GREENBRIER RD, Green Bay, WI 54311

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Other Names 1

Former Name (1)Dr. Katrina Lynn Guckenberg M.d.

Secondary Practice Location 1

Location 1100 Brewster BlvdCamp Lejeune, NC 28547-2575 · Phone (910) 450-4357

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Dr. Katrina Lynn Destree M.d. 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 ID9032400072

PECOS Enrollment IDI20200813001771

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 Reassignments

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

Baycare Clinic LLP

Same address

Emergency Medicine

2845 GREENBRIER RD
Green Bay, WI 54311

Reassigned Medicare billing, Wisconsin enrollment
275 clinicians in this Medicare group

NPI 1588609648 (920) 288-8000

Baycare Aurora, LLC

Same address

General Acute Care Hospital

2845 GREENBRIER RD
Green Bay, WI 54311

Reassigned Medicare billing, Wisconsin enrollment
394 clinicians in this Medicare group

NPI 1255387726 (920) 288-8000

Aurora Health Care North, Inc.

29 mi

General Acute Care Hospital

5000 MEMORIAL DR
Two Rivers, WI 54241

Reassigned Medicare billing, Wisconsin enrollment
55 clinicians in this Medicare group

NPI 1477508687 (920) 794-5000

Aurora Medical Center Of Oshkosh, Inc

45 mi

General Acute Care Hospital

855 N WESTHAVEN DR
Oshkosh, WI 54904

Reassigned Medicare billing, Wisconsin enrollment
28 clinicians in this Medicare group

NPI 1275578064 (920) 456-6000

Aurora Medical Group, Inc.

51 mi

Clinic/Center

2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1174670244 (920) 457-4461

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

104 services99 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

24 services24 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

17 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora Medical Ctr Manitowoc County

Acute Care Hospitals · Two Rivers, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number520034

Location5000 Memorial DriveTwo Rivers, WI 54241 · Manitowoc County

Emergency services Birthing friendly

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number520193

Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County

Emergency services Birthing friendly

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

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier18 claims18 services$6.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMRITHA CHANDRAHASA KARKERA M.D.

Internal Medicine (Hematology & Oncology)