JAZMYN SOUKUP DNP
NPI 1154008332
Nurse Practitioner in Wagner, SD
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 Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jazmyn Soukup reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wagner, SD 57380
- Reassigned Medicare billing, South Dakota enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDWagner Community Memorial Hospital - Cah
Critical Access Hospitals · Wagner, SDPhysician 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.
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.
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.
Which organization bills Medicare for Jazmyn Soukup's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jazmyn Soukup reassigns Medicare benefits to Wagner Community Memorial Hospital (Wagner, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jazmyn Soukup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jazmyn Soukup accept?
Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Avera Health Plans, Medica and Sanford Health Plan and 1 other insurer 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 Avera Mckennan Hospital & University Health Center and 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jazmyn Soukup, DNP · NPI 1154008332
Nurse Practitioner physician in Wagner, South Dakota. Individual provider, active in the CMS NPPES registry since June 29, 2023.
## Identity
- **NPI:** 1154008332 (Entity type: Individual)
- **Enumerated:** June 29, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** CP002863 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 513 3RD ST SW, Wagner, SD 57380-9675
- **Phone:** (605) 384-3611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wagner Community Memorial Hospital (NPI 1740306992, Wagner, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154008332) · Data from the CMS NPPES public registry.