Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stefanie E Roby, PA-C

Individual provider Physician Assistant · NPI 1538464003

Stefanie E Roby, PA-C is a Physician Assistant in Watertown, South Dakota. Qualified in 2010, 16 years ago. Practices with Prairie Lakes Health Care System Inc, a 112-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2011
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

506 1st Ave SE
Watertown, SD 57201-4402
Phone: (605) 886-8482
Fax: (605) 884-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 9th Ave Nw, Watertown, SD 57201-1548 — (605) 882-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1538464003
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 14, 2011
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Prairie Lakes Health Care System Inc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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