Stephanie Ufkin, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28219960A Issued in IN

Practice address

111 Sunnybrook CT
South Bend, IN 46637-3437

Phone

(574) 261-2965

NPI assigned

Sep 23, 2019

Last updated

Sep 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Medical Services LLCGroup PAC ID 0042603599, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Medical Services LLC

  • General Practice Physician
  • Mishawaka, IN
  • NPI 1700544509
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1407407406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SUNNYBROOK CT",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SUNNYBROOK CT",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373437",
            "telephone_number": "574-261-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UFKIN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28219960A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayra Gizem Ucpinar
• Khutb Mohammed Uddin, MD
• Mairaj Uddin, M.D.M.P.H.
• Francesca E Udoh, NP
• Marie K Udulutch, PSYD
• Theresa Uhrich, MSW
• Ignatius Kizito Ukatu
• Ogenna Agatha Umeh
• Unchained Physical Therapy & Wellness
• Stephanie Leanne Unger

• Nurse Practitioner in South Bend, IN
• Providers in South Bend, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.