Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Soukup, PA-C

Individual provider Physician Assistant · NPI 1922479997

Marissa Soukup, PA-C is a Physician Assistant in Sioux Falls, South Dakota. Qualified in 2015, 11 years ago. Practices with Sanford Medical Center, a 842-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
11
Licensed in
SD
In the registry since
2015
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

4405 E 26th St
Sioux Falls, SD 57103-4187
Phone: (605) 328-9000
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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 1000 (SD)

Record details

NPI number1922479997
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2015
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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