Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexandra Kathryn Mimmack, PA-C

Individual provider Physician Assistant · NPI 1861074411

Alexandra Kathryn Mimmack, PA-C is a Physician Assistant in Sioux Falls, South Dakota. Qualified in 2020, 6 years ago. Practices with Plastic Surgery Associates of South Dakota, Ltd, a 4-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
6
Licensed in
SD
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4201 S Minnesota Ave
Sioux Falls, SD 57105-6705
Phone: (605) 335-3349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1296 (SD)

Record details

NPI number1861074411
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 23, 2021
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Plastic Surgery Associates Of South Dakota, Ltd — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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