JAZMYN SOUKUP DNP
NPI 1154008332
Nurse Practitioner in Wagner, SD

Active since June 29, 2023PECOS EnrolledAccepts Medicare Assignment
513 3RD ST SW, WAGNER, SD 57380(605) 384-3611 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jazmyn Soukup Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAZMYN SOUKUP DNP (NPI 1154008332) is an individual nurse practitioner in Wagner, South Dakota, licensed in South Dakota (CP002863) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Wagner Community Memorial Hospital - Cah, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1154008332
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJAZMYN SOUKUPCredential: DNP
Location Address513 3RD ST SWWagner, SD 57380-9675
Mailing Address513 3rd St SwWagner, SD 57380-9675 · (605) 384-3418 · Fax (605) 384-5240
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 29, 2023
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
NPI 1154008332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SD · CP002863
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

513 3RD ST SW, Wagner, SD 57380

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jazmyn Soukup Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688036809
PECOS Enrollment IDI20230818002208
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wagner Community Memorial Hospital - Cah

Critical Access Hospitals · Wagner, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431315
Location513 3rd St SWWagner, SD 57380 · Charles Mix County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57380 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
513 3RD ST SW
WAGNER, SD 57380
Clinical Medical Laboratory
513 3RD ST SW
WAGNER, SD 57380
General Acute Care Hospital (Critical Access)
513 3RD ST SW
WAGNER, SD 57380
Medicare Defined Swing Bed Unit
513 3RD ST SW
WAGNER, SD 57380
Family Medicine
513 3RD ST SW
WAGNER, SD 57380
Physician Assistant
513 3RD ST SW
WAGNER, SD 57380
Nurse Practitioner (Family)
513 3RD ST SW
WAGNER, SD 57380
Nurse Practitioner (Family)
513 3RD ST SW
WAGNER, SD 57380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jazmyn Soukup's NPI number?

The NPI number for Jazmyn Soukup is 1154008332. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Jazmyn Soukup located?

Jazmyn Soukup practices at 513 3rd St SW, Wagner, SD 57380. The listed phone number is (605) 384-3611.

What is Jazmyn Soukup's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jazmyn Soukup enrolled in Medicare?

Yes. Jazmyn Soukup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jazmyn Soukup accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Jazmyn Soukup as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jazmyn Soukup affiliated with any hospitals?

According to CMS data, Jazmyn Soukup is affiliated with Wagner Community Memorial Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Jazmyn Soukup was last updated on May 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.