Individual provider Active NPI

Melissa Robin Henderson, PMHNP

  • Registered Nurse
  • Lumberton, NC
National Provider Identifier
1982372751
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
232021 Issued in NC
Practice address
2003 Godwin Ave Ste C
Lumberton, NC 28358-3150
Phone
(910) 674-4814
Fax
(910) 674-4842
NPI assigned
Sep 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5015346 NC
Registered Nurse 163W00000X 232021 NC Primary

Addresses

Primary practice location

2003 Godwin Ave Ste C
Lumberton, NC 28358-3150

Mailing address

1420 Townsend Rd
Saint Pauls, NC 28384-6981
Phone (910) 225-2291

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.henderson@monarchnc.org

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
I20220201001990 NC Practitioner - Nurse Practitioner 3577956275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MonarchGroup PAC ID 0244273852, 92 clinicians

Practice addresses (Care Compare)

200 Godwin Ave
Suite C
Lumberton, NC 28358-3150
Phone (910) 674-4814

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
232021NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Current Accepting new patients
Monarch CurrentSince Dec 1, 2021 Accepting new patients
Monarch CurrentSince Dec 1, 2021 Accepting new patients
Monarch Past Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

809 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 442-0333

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1982372751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 TOWNSEND RD",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283846981",
            "telephone_number": "910-225-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE STE C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583150",
            "telephone_number": "910-674-4814",
            "fax_number": "910-674-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MELISSA",
        "middle_name": "ROBIN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5015346",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "232021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.henderson@monarchnc.org",
            "affiliation": "N",
            "address_1": "2003 Godwin Ave Ste C",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283583150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.