MISS CHARISSE N FULLWOOD PMHNP-BC
NPI 1154085629
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Q: What is Charisse Fullwood's NPI number?

The NPI number for Charisse Fullwood is 1154085629. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Q: What is Charisse Fullwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Charisse Fullwood was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 29, 2021PECOS Enrolled

3200 BLUE RIDGE RD STE 218, RALEIGH, NC 27612(910) 713-8209 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, Dec 6, 2021 (2 updates tracked since 2021).

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About Miss Charisse N Fullwood Pmhnp-bc NPPES

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

MISS CHARISSE N FULLWOOD PMHNP-BC (NPI 1154085629) is an individual psychiatric/mental health provider in Raleigh, North Carolina, licensed in North Carolina (0000000) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1154085629

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMISS CHARISSE N FULLWOODCredential: PMHNP-BC

Location Address3200 BLUE RIDGE RD STE 218Raleigh, NC 27612-8087

Mailing Address3200 Blue Ridge Rd Ste 218Raleigh, NC 27612-8087 · (910) 713-8209 · Fax (833) 542-8310

Phone(910) 713-8209

Sole ProprietorYes

Enumeration DateOctober 29, 2021

Last NPPES UpdateMay 21, 20262 updates tracked since enumeration

NPPES CertifiedMay 21, 2026

✔ NPI 1154085629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 0000000

3200 BLUE RIDGE RD STE 218, Raleigh, NC 27612

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Secondary Practice Location 1

Location 110901 World Trade BlvdRaleigh, NC 27617-4203 · Phone (919) 372-4408

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Charisse N Fullwood Pmhnp-bc 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

47 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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 3

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

A PENNY FOR YOUR THOUGHTS, PLLC

Nurse Practitioner (Psychiatric/Mental Health)

3200 BLUE RIDGE RD STE 218
RALEIGH, NC 27612

Wake County (910) 713-8209

MRS. LORENA SASKIA SIMS FNP

Nurse Practitioner (Family)

3200 BLUE RIDGE RD STE 218
RALEIGH, NC 27612

Wake County (800) 809-1265

COMMUNITY FIRST CLINICAL RESEARCH, LLC

Clinic/Center (Research)

3200 BLUE RIDGE RD STE 218
RALEIGH, NC 27612

Wake County (910) 622-3570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charisse Fullwood's NPI number?

The NPI number for Charisse Fullwood is 1154085629. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Where is Charisse Fullwood located?

Charisse Fullwood practices at 3200 Blue Ridge Rd Ste 218, Raleigh, NC 27612. The listed phone number is (910) 713-8209.

What is Charisse Fullwood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Charisse Fullwood enrolled in Medicare?

Yes. Charisse Fullwood is registered in the Medicare PECOS enrollment system.

What insurance does Charisse Fullwood accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and UnitedHealthcare list Charisse Fullwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charisse Fullwood was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.