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MONICA EVE FULGHUM PMHNP-BC
NPI 1376342873
Nurse Practitioner - Psychiatric/Mental Health in Kinston, NC

Active since March 10, 2025PECOS EnrolledAccepts Medicare Assignment
2706 BROOKWOOD RD, KINSTON, NC 28504(252) 361-5114(252) 361-5114 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Monica Eve Fulghum Pmhnp-bc NPPES

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

MONICA EVE FULGHUM PMHNP-BC (NPI 1376342873) is an individual psychiatric/mental health provider in Kinston, North Carolina, licensed in North Carolina (2025004757) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376342873
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMONICA EVE FULGHUMCredential: PMHNP-BC
Location Address2706 BROOKWOOD RDKinston, NC 28504-7569
Mailing Address2706 Brookwood RdKinston, NC 28504-7569 · (252) 361-5114 · Fax (252) 361-5114
Phone(252) 361-5114
Fax(252) 361-5114
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 9, 2025
✔ NPI 1376342873 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 · 2025004757
2706 BROOKWOOD RD, Kinston, NC 28504
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monica Eve Fulghum Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799286761
PECOS Enrollment IDI20250829004495
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Monica Fulghum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Dawn Psychiatric Services, PLLC
5.0 mi
Community/Behavioral Health
400 GLENWOOD AVE, SUITE 8
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 17 clinicians in this Medicare group
NPI 1245637701 (252) 686-8092
Yelvertons Enrichment Services Inc
64 mi
Community/Behavioral Health
4805 GREEN RD STE 103
Raleigh, NC 27616
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
NPI 1720136930 (919) 872-6220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28504 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.

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 Monica Fulghum's NPI number?

The NPI number for Monica Fulghum is 1376342873. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Monica Fulghum located?

Monica Fulghum practices at 2706 Brookwood Rd, Kinston, NC 28504. The listed phone number is (252) 361-5114.

What is Monica Fulghum's specialty?

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

Is Monica Fulghum enrolled in Medicare?

Yes. Monica Fulghum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Monica Fulghum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Fulghum reassigns Medicare benefits to 2 organizations: New Dawn Psychiatric Services, PLLC (Kinston, NC) and Yelvertons Enrichment Services Inc (Raleigh, 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 Monica Fulghum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Fulghum accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Monica Fulghum 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 Monica Fulghum was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.