Stefanie E Roby, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

506 1St Ave SE
Watertown, SD 57201-4402

Phone

(605) 886-8482

Fax

(605) 884-4300

NPI assigned

Jan 14, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stefanie E. Kranz Former name

Medicare fee-for-service enrollment

Enrolled in SD, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Lakes Health Care System IncGroup PAC ID 8628987823, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005
• Huron Regional Medical Center Hospital, Huron, SD, CCN 431335
• Sanford Hospital Webster - Cah Hospital, Webster, SD, CCN 431311
• Coteau Des Prairies Health Care System Hospital, Sisseton, SD, CCN 431339
• Johnson Memorial Hospital Hospital, Dawson, MN, CCN 241314

Merit-based Incentive Payment System (MIPS)

Final score

61.99 of 100Reported as group

Quality

31.99

Promoting interoperability

98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.59 of 100Reported as group

Quality

100

Promoting interoperability

96

Improvement activities

40

Cost

85.3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prairie Lakes Health Care System Inc

  • Rural Acute Care Hospital
  • Watertown, SD
  • NPI 1720166002

  MN

  Medicare reassignment Care Compare group NPD
• Prairie Lakes Health Care System Inc

  • Family Medicine Physician
  • Castlewood, SD
  • NPI 1578369070

  Physician Assistant

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coteau Des Prairies Hospital

  • Critical Access Hospital
  • Sisseton, SD
  • NPI 1417051517
  Care Compare affiliation
• Huron Regional Medical Center Inc

  • Critical Access Hospital
  • Huron, SD
  • NPI 1154312429
  Care Compare affiliation
• Sanford Health Network

  • Critical Access Hospital
  • Webster, SD
  • NPI 1831103449
  Care Compare affiliation
• Johnson Memorial Health Services

  • Critical Access Hospital
  • Dawson, MN
  • NPI 1093745051
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1538464003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014402",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 1ST AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014402",
            "telephone_number": "605-886-8482",
            "fax_number": "605-884-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 9th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "SD",
            "postal_code": "572011548",
            "country_code": "US",
            "telephone_number": "605-882-7000",
            "fax_number": "605-882-7819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBY",
        "first_name": "STEFANIE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "KRANZ",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danny J Rinerson, ACUPUNCTURIST
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• Maxwell Alan Roberts
• Teresa Jean Robin
• Stefanie Robinson
• Roger L Albertson DDS PC
• Rachell M Rogge
• Lindsay K Rogness, LCSW-PIP
• Christine Ronke, BS
• Root Function Wellness PLLC

• Physician Assistant in Watertown, SD
• Providers in Watertown, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.