NPIMap

Individual provider Active NPI

Belinda Kaydianne Fugalli, PA-C

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1265762173
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001009802 Issued in NC
Practice address
1537 Owen Park LN
Fayetteville, NC 28304-3454
Phone
(910) 485-8801
Fax
(910) 485-5605
NPI assigned
Dec 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 013763-1 NY
Medical Physician Assistant 363AM0700X 0010-08902 NC
Physician Assistant 363A00000X 001009802 NC Primary

Addresses

Primary practice location

1537 Owen Park LN
Fayetteville, NC 28304-3454

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other practice location 1

3000 New Bern Ave Dept Of
Raleigh, NC 27610-1231
Phone (919) 350-1570

Other identifiers 1

IdentifierTypeStateIssuer
0010-08902OtherNCLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170816002864 NY Practitioner - Physician Assistant 0547395691 Reassigns benefits to 2 organizations
I20230126002218 NC Practitioner - Physician Assistant 0547395691 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2301 Robeson St
Fayetteville, NC 28305-5641

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-8386

4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2572
Phone (910) 484-2171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013763-1NYMDOccupational Therapist
001009802NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jun 6, 2017 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Sep 29, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 15, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jun 6, 2017 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 1, 2023 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Sep 29, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 15, 2025 Accepting new patients
Todd Mekles MD PC PastSince Sep 14, 2025 Accepting new patients

Locations

1537 Owen Park Ln
Fayetteville, NC 28304
Phone (910) 323-4733

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

111 E 210th St
Bronx, NY 10467

Interoperability endpoints

  • Direct secure messaging: bfugalli584273@directhisp.wakemed.org
  • Direct secure messaging: bfugalli109626@capefearvalley.direct-ci.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1265762173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 OWEN PARK LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043454",
            "telephone_number": "910-485-8801",
            "fax_number": "910-485-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 New Bern Ave Dept Of",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUGALLI",
        "first_name": "BELINDA",
        "middle_name": "KAYDIANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013763-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-08902",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001009802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0010-08902",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.