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INTEGRAL MENTAL HEALTHCARE PLLC
NPI 1750999876
Physician Assistant in Fayetteville, NC

Active since July 14, 2020
3505 BRACEBRIDGE CT, FAYETTEVILLE, NC 28306(910) 644-6031(207) 419-6495 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2025, Feb 19, 2025, Jan 12, 2025 and 1 more (4 updates tracked since 2020).

About Integral Mental Healthcare Pllc NPPES

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

INTEGRAL MENTAL HEALTHCARE PLLC (NPI 1750999876) is a healthcare organization registered as a physician assistant in Fayetteville, North Carolina and active in the NPI registry since July 2020. The organization lists Jacqueline Bennett Hudson, Pa-c, as its authorized official.

NPPES Registry Identity

NPI1750999876
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameINTEGRAL MENTAL HEALTHCARE PLLC
Location Address3505 BRACEBRIDGE CTFayetteville, NC 28306-8999
Mailing Address3505 Bracebridge CtFayetteville, NC 28306-8999 · (910) 644-6031 · Fax (207) 419-6495
Phone(910) 644-6031
Fax(207) 419-6495
Organization SubpartNo
Authorized OfficialJacqueline Bennett HudsonPa-c · (910) 644-6031
Enumeration DateJuly 14, 2020
Last NPPES UpdateMarch 14, 20254 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1750999876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
3505 BRACEBRIDGE CT, Fayetteville, NC 28306
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Other Names 1

Doing Business AsIntegral Mental Healthcare Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integral Mental Healthcare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Integral Mental Healthcare PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacqueline Hudson, PA-C
Physician Assistant
NPI 1194104984
7118 MAIN ST
Wade, NC 28395
(910) 644-6031
✔ PECOS✔ Accepts Medicare20 mi

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

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 Integral Mental Healthcare PLLC's NPI number?

The NPI number for Integral Mental Healthcare PLLC is 1750999876. It was assigned to this organization in the NPPES registry on July 14, 2020.

Where is Integral Mental Healthcare PLLC located?

Integral Mental Healthcare PLLC is located at 3505 Bracebridge Ct, Fayetteville, NC 28306. The listed phone number is (910) 644-6031.

What is Integral Mental Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Integral Mental Healthcare PLLC enrolled in Medicare?

Yes. Integral Mental Healthcare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integral Mental Healthcare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physician Assistant) reassigns their Medicare billing to Integral Mental Healthcare PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Integral Mental Healthcare PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Integral Mental Healthcare PLLC 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 Integral Mental Healthcare PLLC was last updated on March 14, 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.