Mark R Kroll, D.O.
Individual provider Active NPI Emergency Medicine Physician · Green Bay, WI
NPI 1124030499 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1124030499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 30436-21 (WI)
- Practice address
- 2253 W Mason St
Green Bay, WI 54303-4706 - Phone
- (920) 327-7000
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Independent Physicians of Wisconsin LLC
Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
125 School Creek TRL
Luxemburg, WI 54217-1095
Phone (920) 545-5109
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700
Hospital & facility affiliations
- Aurora Baycare Medical Ctr
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081110000356 | WI | Practitioner - Family Practice | 5395804025 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30436-21 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Clinic LLP | Emergency Medicine | Current |
Accepting new patients |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Independent Physicians of Wisconsin, LLC | Current |
Accepting new patients | |
| Baycare Aurora, LLC | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Family Medicine | Current |
Accepting new patients |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Independent Physicians of Wisconsin, LLC | Family Medicine | Current |
Accepting new patients |
| Baycare Clinic LLP | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Family Medicine | Current |
Accepting new patients |
| Aurora Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
| Oconto Hospital & Medical Center Inc | Family Medicine | Current |
Accepting new patients |
Locations
1035 Kepler Dr
Green Bay, WI 54311
2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400
3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000
1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700
2845 Greenbrier Rd
#1
Green Bay, WI 54311
Phone (920) 288-8100
2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388
108 Packerland Dr
Ste D1
Green Bay, WI 54303
Phone (920) 545-5109
123 N Military Ave
Green Bay, WI 54303
Phone (920) 494-3421
2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200
2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000
4070 Equestrian Ln
Green Bay, WI 54229
Phone (920) 866-6100
125 School Creek Trl
Luxemburg, WI 54217
Phone (920) 545-5109
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
108 S 10th Ave
Sturgeon Bay, WI 54235
Phone (920) 746-7955
Interoperability endpoints
- mark.kroll.1@18758.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30436-21 | WI | |
| Emergency Medicine Physician | 207P00000X | 30436-21 | WI | Yes |
Addresses
Primary practice location
2253 W Mason St
Green Bay, WI 54303-4706
Mailing address
2864 Sussex Rd
Green Bay, WI 54311-7475
Phone (920) 680-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30049600 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkroll57617@direct.myadvocateaurora.org |
Other providers in Green Bay, WI
- Wendy Marie Kroeber
- Brandon Kroeger
- McKenzie Krohn
- Amber Elaine Krokstrom
- Karen M Kroll
- Matthew Tyler Kroll
- Rachel D Kroll
- Taylor A Kroll
- Nicholas Kropp
- Lindsey Charles Krouth
All providers in Green Bay, WI · Emergency Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.