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

Robert R McKibben

Individual provider Physician Assistant · NPI 1184713182

Robert R McKibben is a Physician Assistant in Plymouth, Wisconsin. Qualified in 2003, 23 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
23
Licensed in
MN, WI
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

2600 Kiley Way
Plymouth, WI 53073-5020
Phone: (920) 449-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5662 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 11276 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1184713182
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address3301 W Forest Home Ave, Milwaukee, WI 53215-2843

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Plymouth