MRS. ELENA YURIEVNA POLYANSKAYA RUPPE P.A.-C
NPI 1285625855
Physician Assistant in Fort Bragg, NC

Active since November 02, 2005PECOS Enrolled
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310(910) 907-7639 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Elena Yurievna Polyanskaya Ruppe P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELENA YURIEVNA POLYANSKAYA RUPPE P.A.-C (NPI 1285625855) is an individual physician assistant in Fort Bragg, North Carolina, licensed in North Carolina (103972) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285625855
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ELENA YURIEVNA POLYANSKAYA RUPPECredential: P.A.-C
Location Address2817 ROCK MERRITT AVEFort Bragg, NC 28310-3411
Mailing Address2817 Rock Merritt AveFort Bragg, NC 28310-0001 · (910) 907-8922
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1285625855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103972
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2817 ROCK MERRITT AVE, Fort Bragg, NC 28310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Elena Yurievna Polyanskaya Ruppe P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
General Practice
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Family Medicine
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Otolaryngology
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Physician Assistant (Medical)
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Radiology (Diagnostic Radiology)
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285625855, enumerated as an "individual" on November 02, 2005.

The provider is located at 2817 ROCK MERRITT AVE FORT BRAGG, NC 28310 and the phone number is (910) 907-7639.

Physician Assistant with taxonomy code 363A00000X.