MISS CHARISSE N FULLWOOD PMHNP-BC
NPI 1154085629
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
4Medicare enrollment records show Charisse Fullwood reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 38 clinicians in this Medicare group
Raleigh, NC 27615
- Reassigned Medicare billing, North Carolina enrollment
- 38 clinicians in this Medicare group
Raleigh, NC 27617
- Reassigned Medicare billing, North Carolina enrollment
- 2 clinicians in this Medicare group
Greensboro, NC 27410
- Reassigned Medicare billing, North Carolina enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
RALEIGH, NC 27612
RALEIGH, NC 27612
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.
Which organizations bill Medicare for Charisse Fullwood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charisse Fullwood reassigns Medicare benefits to 4 organizations: Triangle Springs Physician Group, LLC (Raleigh, NC), Step Up Care Of North Carolina PC (Raleigh, NC), Pave Behavioral Health Services PC (Raleigh, NC) and Triad Counseling & Clinical Service LLC (Greensboro, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charisse Fullwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charisse Fullwood accept?
Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc 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 5 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.
# Miss Charisse N Fullwood, PMHNP-BC · NPI 1154085629
Psychiatric/Mental Health physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since October 29, 2021.
## Identity
- **NPI:** 1154085629 (Entity type: Individual)
- **Enumerated:** October 29, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0000000 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3200 BLUE RIDGE RD STE 218, Raleigh, NC 27612-8087
- **Phone:** (910) 713-8209
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Triangle Springs Physician Group, LLC (NPI 1184298408, Raleigh, NC); Step Up Care Of North Carolina PC (NPI 1841929395, Raleigh, NC); Pave Behavioral Health Services PC (NPI 1699173294, Raleigh, NC); Triad Counseling & Clinical Service LLC (NPI 1619988938, Greensboro, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1154085629) · Data from the CMS NPPES public registry.