Jazmyn Soukup, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CP002863 Issued in SD

Practice address

513 3Rd St SW
Wagner, SD 57380-9675

Phone

(605) 384-3611

NPI assigned

Jun 29, 2023

Last updated

May 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wagner Community Memorial HospitalGroup PAC ID 3577459700, shared by 3 NPIs, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wagner Community Memorial Hospital - Cah Hospital, Wagner, SD, CCN 431315
• Wagner Community Memorial Hospital - Cah Nursing home, CCN 43Z315

Merit-based Incentive Payment System (MIPS)

Final score

74.55 of 100Reported as group

Quality

66.54

Promoting interoperability

100

Improvement activities

40

Cost

45.26

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wagner Community Memorial Hospital

  • Critical Access Hospital
  • Wagner, SD
  • NPI 1326030974
  Medicare reassignment NPD
• Wagner Community Memorial Hospital

  • Family Medicine Physician
  • Wagner, SD
  • NPI 1740306992
  Medicare reassignment NPD
• Wagner Community Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Wagner, SD
  • NPI 1629135645
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wagner Community Memorial Hospital

  • Critical Access Hospital
  • Wagner, SD
  • NPI 1326030974
  Care Compare affiliation
• Wagner Community Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Wagner, SD
  • NPI 1629135645

  Nursing home

  Care Compare affiliation
• Wagner Community Memorial Hospital

  • Family Medicine Physician
  • Wagner, SD
  • NPI 1740306992

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1154008332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 3RD ST SW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573809675",
            "telephone_number": "605-384-3418",
            "fax_number": "605-384-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 3RD ST SW",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573809675",
            "telephone_number": "605-384-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUKUP",
        "first_name": "JAZMYN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP002863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Eric Sass, PHARMD
• Karen M Schleiger, PA-C
• Joseph R Sees, RPT
• Sioux Falls Vamc
• Tianna Rose Smith, MD
• Carol Lee Stewart, DNP, APRN, CNP
• David Dean Stimpson, RT
• Mark Struble, OD
• Timothy Darien Thaler, DPT
• Tori Sarah Thaler, LCSW-PIP, LISW

• Nurse Practitioner in Wagner, SD
• Providers in Wagner, SD by specialty
• Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.