Active NPI
Melissa Robin Henderson, PMHNP
- Registered Nurse
- Lumberton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 232021
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 232021 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Monarch | Current | 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.
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1992143242
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1972644334
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laurinburg, NC
- NPI 1457345597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.