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

Individual provider Physician Assistant · NPI 1164400057

Travis L Roethler, PA-C is a Physician Assistant in Faribault, Minnesota. Qualified in 1994, 32 years ago. Practices with Mayo Clinic Health System-Southeast Minnesota Region, a 561-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
32
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

300 State Ave
Faribault, MN 55021-6319
Phone: (507) 333-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 924 1st St Ne, Faribault, MN 55021-5441 — (507) 333-3300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9141 (MN)

Record details

NPI number1164400057
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2006
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Mayo Clinic Health System-Southeast Minnesota Region — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Faribault