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

Lee Jerome Witter, PA-C

Individual provider Physician Assistant · NPI 1104919406

Lee Jerome Witter, PA-C is a Physician Assistant in Rochester, Minnesota. Qualified in 2005, 21 years ago. Practices with Olmsted Medical Center, a 325-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

210 9th St SE
Rochester, MN 55904-6756
Phone: (507) 288-3443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11503 (MN)

Record details

NPI number1104919406
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESDecember 22, 2023
Certification dateDecember 22, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Olmsted Medical Center — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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