LISA ANNE SOUPIR NP-C
NPI 1174191035
Nurse Practitioner - Family in Eden Prairie, MN
About Lisa Anne Soupir Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA ANNE SOUPIR NP-C (NPI 1174191035) is an individual family provider in Eden Prairie, Minnesota, licensed in Minnesota (7720) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Avera Marshall Regional Medical Ctr, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Lisa Anne Soupir Np-c 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 Reassignments
2Medicare enrollment records show Lisa Soupir reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Redwood Falls, MN 56283
- Reassigned Medicare billing, Minnesota enrollment
- 260 clinicians in this Medicare group
Windom, MN 56101
- Reassigned Medicare billing, Minnesota enrollment
- 92 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.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Marshall Regional Medical Ctr
Critical Access Hospitals · Marshall, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lisa Soupir's NPI number?
The NPI number for Lisa Soupir is 1174191035. It was assigned to this individual provider in the NPPES registry on June 16, 2021.
Where is Lisa Soupir located?
Lisa Soupir practices at 6485 City West Pkwy, Eden Prairie, MN 55344. The listed phone number is (952) 933-1150.
What is Lisa Soupir's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Soupir enrolled in Medicare?
Yes. Lisa Soupir 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 organizations bill Medicare for Lisa Soupir's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Soupir reassigns Medicare benefits to 2 organizations: Avera Marshall (Redwood Falls, MN) and Rural Health Care, Inc (Windom, MN). Each 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 Lisa Soupir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lisa Soupir affiliated with any hospitals?
According to CMS data, Lisa Soupir is affiliated with Avera Marshall Regional Medical Ctr.
When was this NPI record last updated?
The NPPES record for Lisa Soupir was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lisa Anne Soupir, NP-C · NPI 1174191035
Family physician in Eden Prairie, Minnesota. Individual provider, active in the CMS NPPES registry since June 16, 2021.
## Identity
- **NPI:** 1174191035 (Entity type: Individual)
- **Enumerated:** June 16, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 7720 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6485 CITY WEST PKWY, Eden Prairie, MN 55344-3246
- **Phone:** (952) 933-1150 · **Fax:** (952) 930-3304
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Avera Marshall (NPI 1962724831, Redwood Falls, MN); Rural Health Care, Inc (NPI 1174141485, Windom, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174191035) · Data from the CMS NPPES public registry.