Roosevelt Smith, PAC, ATR
Medical Physician Assistant · Winona, MN
Roosevelt Smith, PAC, ATR is a medical physician assistant with a practice address in Winona, Minnesota, and NPI 1003836701, issued on Jul 19, 2006. Check the license (Minnesota 9155, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Roosevelt Smith
- Credential
- PAC, ATR
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License numbers
- 9155 MN
500023 WI
Self-reported in NPPES; status is on the state search - Practice location
- 62 E 3RD St, Winona, MN 55987
- Phone
- (507) 474-4770
- Enumerated
- Jul 19, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (507) 474-4774
- Medicare enrollment
- Enrolled (PECOS I20050720000097); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 459 in Minnesota → Look up another NPI →
Also registered at 62 E 3RD St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Steven Vogel, MDFamily Medicine Physician1477573004
Verify Roosevelt Smith in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 9155Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
One hospital affiliation
- Winona Health ServicesWinona, MN · Acute Care Hospitals2 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Roosevelt Smith among 459 medical physician assistant records in Minnesota
Roosevelt Smith, PAC, ATR is one of 459 medical physician assistant records with a practice address in Minnesota. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.
- NPI issued2006 · 4% of these records are older, 72% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated1981 · median 2012 among the 316 with a school on file
- Record last updated2007 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
12 medical physician assistant records list a practice address in Winona
They are 12 of the 876 NPPES records with a practice address in Winona, and 459 medical physician assistant records in Minnesota.
All 459 in Minnesota → Every provider in Winona → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Katy Anthony, PA-CWinona, MN 559871295754463
- Kaydi Breeser, PAWinona, MN 559871841081502
- Denver Brown, PAWinona, MN 559871720374663
- Cindy Gile, PA-CWinona, MN 559871811974801
- Chloe Kumpf, PA-CWinona, MN 559871780524413
- Stephanie Lewis, PAWinona, MN 559871841671500
- Kelli Polum, PHYSICIAN ASSISTANTWinona, MN 559871184275794
- Kara Reller, PA-CWinona, MN 559871396110516
Common questions
What is Roosevelt Smith, PAC, ATR's NPI number?
Roosevelt Smith, PAC, ATR's National Provider Identifier (NPI) is 1003836701, issued on Jul 19, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Roosevelt Smith, PAC, ATR located?
The NPPES record lists a practice address at 62 E 3RD St, Winona, MN, 55987. Phone: (507) 474-4770. Providers update this record themselves, so call before visiting.
How can I verify Roosevelt Smith, PAC, ATR's license?
NPPES lists Minnesota license number 9155, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.