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

Krista S Primley

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1073013025

Krista S Primley is an Oral Surgery in Green Bay, Wisconsin. Qualified in 2018, 8 years ago. Practices with Baycare Clinic LLP, a 196-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Iowa, Minnesota and Wisconsin.

Years since qualifying
8
Licensed in
IA, MN, WI
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

2581 Development Dr
Green Bay, WI 54311-4247
Phone: (920) 347-0400
Fax: (920) 347-0868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 200 Hawkins Dr, Iowa City, IA 52242-1009 — (319) 356-7339
  • 8515 Eagle Point Blvd Ste 200, Lake Elmo, MN 55042-8624 — (651) 523-9950
  • 515 Delaware St Se, Minneapolis, MN 55455 — (612) 624-8600
  • 930 Maritime Dr, Manitowoc, WI 54220-2961 — (920) 682-9121
  • 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 — (920) 743-2001

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 6001396 (WI)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D14292 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RES-30533 (IA)

Record details

NPI number1073013025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 16, 2018
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address1035 Kepler Dr, Green Bay, WI 54311-8320

Medicare enrollment

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

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Baycare Clinic Llp — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay