Alicia Marie Skupa, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11296 Issued in MN

Practice address

5615 150TH St N
PO 363
Hugo, MN 55038-3535

Phone

(651) 243-0369

Fax

(651) 331-5343

NPI assigned

Mar 22, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Minn Skin LLC

  • Dermatology Physician
  • Hugo, MN
  • NPI 1457228843
  NPD Authorized official
• Metro Vein Clinic, PA

  • Internal Medicine Physician
  • Fridley, MN
  • NPI 1356671267
  NPD
• West Imaging, LLC

  • Diagnostic Radiology Physician
  • Robbinsdale, MN
  • NPI 1053311399
  NPD (past)
• Advanced Dermatology Clinic, Inc.

  • Dermatology Physician
  • Freeport, IL
  • NPI 1881167278
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1982946356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 150TH ST N",
            "address_2": "PO 363",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550383535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 150TH ST N",
            "address_2": "PO 363",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550383535",
            "telephone_number": "651-243-0369",
            "fax_number": "651-331-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUPA",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Schultz
• Veronica Lynn Senkyr, M.A., LMFT
• Johnny Servin
• Madison Shannon
• Lindsey Ann Shiltz
• Abigail Murphy Smith
• Anja Smith, DPT
• Penelope Juvrud Smith, MD
• Sorenson Dental
• Brent Sorenson, D.D.S.

• Physician Assistant in Hugo, MN
• Providers in Hugo, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.