| Lisa Anne Soupir, NP-C | |
|
6485 City West Pkwy, Eden Prairie, MN 55344-3246 | |
| (952) 933-1150 | |
| (952) 930-3304 |
| Full Name | Lisa Anne Soupir |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 6485 City West Pkwy, Eden Prairie, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174191035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7720 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Marshall Regional Medical Ctr | Marshall, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Health Care Inc | 3476447541 | 133 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Rural Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215317375 PECOS PAC ID: 3476447541 Enrollment ID: O20150710000034 |
| Mailing Address | Practice 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 |
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 | |
Chad Lee Stencel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 Prairie Center Dr Ste 200, Eden Prairie, MN 55344 Phone: 952-995-8780 Fax: 952-679-7430 | |
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 |