Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaylen Leigh Krueger

Individual provider Physician Assistant · NPI 1073298618

Kaylen Leigh Krueger is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2025, 1 year ago. Practices with Emergency Medicine Specialists SC, a 220-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2023
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Practice location Address checks out

3836 Shore Crest Ct
Green Bay, WI 54311-9144
Phone: (920) 660-7614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1073298618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 20, 2023
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Emergency Medicine Specialists Sc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Bay