Lisa Anne Soupir, NP-C - Medicare Nurse Practitioner in Eden Prairie, MN

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Lisa Anne Soupir, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Eden Prairie, Minnesota. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rural Health Care Inc and her current practice location is 6485 City West Pkwy, Eden Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 933-1150.

Lisa Anne Soupir is licensed to practice in Minnesota (license number 7720) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174191035.

Contact Information

Lisa Anne Soupir, NP-C
6485 City West Pkwy,
Eden Prairie, MN 55344-3246
(952) 933-1150
(952) 930-3304

Map and Direction




Provider's Profile

Full NameLisa Anne Soupir
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location6485 City West Pkwy, Eden Prairie, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Anne Soupir graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1174191035
  • Provider Enumeration Date: 06/16/2021
  • Last Update Date: 06/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729489901
  • Enrollment ID: I20210624003316

Medical Identifiers

Medical identifiers for Lisa Anne Soupir such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174191035NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 7720 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Marshall Regional Medical CtrMarshall, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rural Health Care Inc3476447541130

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Anne Soupir allows following entities to bill medicare on her behalf.
Entity NameAvera Marshall
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568401016
PECOS PAC ID: 5799695227
Enrollment ID: O20031106000219
Entity NameSports & Family Wellness Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982030706
PECOS PAC ID: 4486880770
Enrollment ID: O20131114001413
Entity NameRural Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215317375
PECOS PAC ID: 3476447541
Enrollment ID: O20150710000034

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Anne Soupir is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Anne Soupir, NP-C
6485 City West Pkwy,
Eden Prairie, MN 55344-3246

Ph: (952) 933-1150		Lisa Anne Soupir, NP-C
6485 City West Pkwy,
Eden Prairie, MN 55344-3246

Ph: (952) 933-1150

Reviews and Comments


Nurse Practitioner Nurses in Eden Prairie, MN

Meghan Maureen Davitt, RN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344
Phone: 612-573-2200    Fax: 612-573-2274
Rachel Maguy Pierre, ARNP-FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344
Phone: 888-445-8745    
Nimo Saleban Abdi,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10067 Gristmill Rdg, Eden Prairie, MN 55347
Phone: 612-226-2747    Fax: 612-465-4884
Jill Marie Scholz, RN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344
Phone: 612-573-2200    Fax: 612-573-2274
Kristofer Bristol, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344
Phone: 952-999-0333    
Katie L Seremet, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344
Phone: 952-999-0333    Fax: 952-300-2558
Anne Hope,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344
Phone: 612-573-2200    Fax: 612-573-2274

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.