Alexandra Kathryn Mimmack, PA-C
Physician Assistant · Sioux Falls, SD
Alexandra Kathryn Mimmack, PA-C is a physician assistant with a practice address in Sioux Falls, South Dakota, and NPI 1861074411, issued on Apr 23, 2021. Check the license (South Dakota 1296, as entered in NPPES) with the South Dakota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Alexandra Kathryn Mimmack
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 1296 SD
Self-reported in NPPES; status is on the state search - Practice location
- 4201 S Minnesota Ave, Sioux Falls, SD 57105
- Phone
- (605) 335-3349
- Enumerated
- Apr 23, 2021
- Record last updated
- Mar 22, 2024
- Medicare enrollment
- Enrolled (PECOS I20240621001670); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 674 in South Dakota → Look up another NPI →
Verify Alexandra Kathryn Mimmack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Dakota board licenses this profession
Search for license 1296Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average physician assistant in 2024
19 Medicare Part D claims, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $75.85
3 payments; by number, the most common kind was food and beverage; the largest payer was Oyster Point Pharma, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Plastic Surgery Associates OF South Dakota, LtdSioux Falls, SD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Alexandra Kathryn Mimmack among 674 physician assistant records in South Dakota
Alexandra Kathryn Mimmack, PA-C is one of 674 physician assistant records with a practice address in South Dakota. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 79% of them.
- NPI issued2021 · 79% of these records are older, 16% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2020 · median 2014 among the 482 with a school on file
- Record last updated2024 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a South Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
245 physician assistant records list a practice address in Sioux Falls
They are 245 of the 6,563 NPPES records with a practice address in Sioux Falls, and 674 physician assistant records in South Dakota.
All 674 in South Dakota → Every provider in Sioux Falls → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Beth Amdahl, PA-CSioux Falls, SD 571051831183011
- David Axtman, MS PA-CSioux Falls, SD 571051023081668
- Karen Banken, PA-CSioux Falls, SD 571051346292489
- Billie Baxa, PACSioux Falls, SD 571051346294857
- Bonnie Bleeker, PA-CSioux Falls, SD 571051083618631
- Jason Domagalski, PASioux Falls, SD 571051710930664
- Carolyn Duenwald, PA-CSioux Falls, SD 571051720032261
- Jennifer Houwman, PA-CSioux Falls, SD 571051720084569
Common questions
What is Alexandra Kathryn Mimmack, PA-C's NPI number?
Alexandra Kathryn Mimmack, PA-C's National Provider Identifier (NPI) is 1861074411, issued on Apr 23, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Alexandra Kathryn Mimmack, PA-C located?
The NPPES record lists a practice address at 4201 S Minnesota Ave, Sioux Falls, SD, 57105. Phone: (605) 335-3349. Providers update this record themselves, so call before visiting.
How can I verify Alexandra Kathryn Mimmack, PA-C's license?
NPPES lists South Dakota license number 1296, as entered by the provider. Search the South Dakota board that licenses this profession; the NPPES record confirms identity only.
How much does Alexandra Kathryn Mimmack, PA-C prescribe under Medicare Part D?
In 2024, Alexandra Kathryn Mimmack, PA-C had 19 Medicare Part D claims; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.