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ALEXANDRA KATHRYN MIMMACK PA-C
NPI 1861074411
Physician Assistant in Sioux Falls, SD

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment
4201 S MINNESOTA AVE, SIOUX FALLS, SD 57105(605) 335-3349 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexandra Kathryn Mimmack Pa-c NPPES

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

ALEXANDRA KATHRYN MIMMACK PA-C (NPI 1861074411) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (1296) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861074411
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRA KATHRYN MIMMACKCredential: PA-C
Location Address4201 S MINNESOTA AVESioux Falls, SD 57105-6705
Mailing Address4017 S Catcher CtSioux Falls, SD 57110-6868 · (605) 321-0552
Phone(605) 335-3349
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 23, 2021
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1861074411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SD · 1296
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4201 S MINNESOTA AVE, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.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

Alexandra Kathryn Mimmack Pa-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.

PECOS PAC ID3173066990
PECOS Enrollment IDI20240621001670
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 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, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sioux Falls Specialty Hospital

Acute Care Hospitals · Sioux Falls, SD
OwnershipProprietary
CMS Certification Number430090
Location910 East 20th StreetSioux Falls, SD 57105 · Minnehaha County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alexandra Mimmack's NPI number?

The NPI number for Alexandra Mimmack is 1861074411. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Alexandra Mimmack located?

Alexandra Mimmack practices at 4201 S Minnesota Ave, Sioux Falls, SD 57105. The listed phone number is (605) 335-3349.

What is Alexandra Mimmack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexandra Mimmack enrolled in Medicare?

Yes. Alexandra Mimmack 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 Alexandra Mimmack accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Alexandra Mimmack 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 Alexandra Mimmack affiliated with any hospitals?

According to CMS data, Alexandra Mimmack is affiliated with Avera Mckennan Hospital & University Health Center and Sioux Falls Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Alexandra Mimmack was last updated on March 22, 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.