Individual provider Active NPI

Monica Eve Fulghum, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kinston, NC
National Provider Identifier
1376342873
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025004757 Issued in NC
Practice address
2706 Brookwood Rd
Kinston, NC 28504-7569
Phone
(252) 361-5114
Fax
(252) 361-5114
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025004757 NC Primary

Addresses

Primary practice location

2706 Brookwood Rd
Kinston, NC 28504-7569

Mailing address

2706 Brookwood Rd
Kinston, NC 28504-7569
Phone (252) 361-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829004495 NC Practitioner - Nurse Practitioner 5799286761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Dawn Psychiatric Services PLLCGroup PAC ID 6204159320, 7 clinicians

Practice addresses (Care Compare)

111 Airport Rd
Kinston, NC 28501-1603
Phone (252) 686-8091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2025004757NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yelvertons Enrichment Services Inc CurrentSince Jan 17, 2026 Accepting new patients
New Dawn Psychiatric Services, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Anesthesia Services Associates, PLLC PastSince Jun 1, 2025 Accepting new patients

Locations

111 Airport Rd
Kinston, NC 28501
Phone (252) 686-8091

4805 Green Rd
Ste 103
Raleigh, NC 27616
Phone (919) 872-6220

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1376342873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 BROOKWOOD RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047569",
            "telephone_number": "252-361-5114",
            "fax_number": "252-361-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 BROOKWOOD RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047569",
            "telephone_number": "252-361-5114",
            "fax_number": "252-361-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGHUM",
        "first_name": "MONICA",
        "middle_name": "EVE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2025004757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.