Individual ProviderMildreth SiscoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2817 Rock Merritt Ave, Fort Bragg, NC 28310-3424(910) 907-8922PECOS EnrollmentBased on the most recent information from CMS, provider Mildreth Sisco is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1447653670Provider TypeIndividualFull NameSisco, MildrethCredentialFNP-C, ENP-CGenderFemaleSole ProprietorNoEnumeration Date10/2/2014Last Updated3/17/2025Contact InformationPractice LocationPractice Address2817 Rock Merritt Ave, Fort Bragg, NC 28310-3424Phone(910) 907-8922Fax(910) 907-6069Mailing LocationMailing Address2817 Rock Merritt Avenue Attn: Managed Care Planning, Fort Bragg, NC 28310-3424Phone(910) 907-8922Fax(910) 907-6069Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5007057North Carolina