Individual ProviderKristina UfimtsevaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2817 Rock Merritt Ave, Stop A, Fort Bragg, NC 28310-0001(910) 907-8922PECOS EnrollmentBased on the most recent information from CMS, provider Kristina Ufimtseva does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1326760182Provider TypeIndividualFull NameUfimtseva, KristinaGenderFemaleSole ProprietorYesEnumeration Date9/16/2022Last Updated12/8/2025Contact InformationPractice LocationPractice Address2817 Rock Merritt Ave, Stop A, Fort Bragg, NC 28310-0001Phone(910) 907-8922Fax(910) 907-6069Mailing LocationMailing Address2817 Rock Merritt Ave, Stop A, Fort Bragg, NC 28310-0001Phone(910) 907-8922Fax(910) 907-6069Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1088312Texas