Active NPI
Christine A Wilzack, PMH-CNS, FNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Holly Springs, NC
National Provider Identifier
1356303796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5006513
- Practice address
- 190 Rosewood Centre Dr
Holly Springs, NC 27540-7628 - Phone
- (919) 851-1527
- Fax
- (919) 851-3555
- NPI assigned
- Apr 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R104565 | MD | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | R104565 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5006513 | NC | Primary |
Addresses
Primary practice location
190 Rosewood Centre Dr
Holly Springs, NC 27540-7628
Mailing address
917 Old Baron Dr
Fuquay Varina, NC 27526-7000
Phone (919) 228-9020
Other practice location 1
201 E Academy St Ste 304
Fuquay Varina, NC 27526-2248
Phone (919) 228-9020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356303796 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courage to Change Mental Health and Wellness PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Bay Life Services Corporation | Past | Accepting new patients | |
| Orthopaedic Associates, PA | Past | Accepting new patients | |
| Cary Physical Therapy and Rehabilitation Inc. | Past | Accepting new patients | |
| Orthopaedic Associates, PA | Past | Accepting new patients | |
| Bay Life Services Corporation | Past | Accepting new patients |
Locations
201 E Academy St
Ste 304
Fuquay Varina, NC 27526
Phone (919) 228-9020
Organizations & group practices 6
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fuquay Varina, NC
- NPI 1861356073
-
- Orthopedic Physical Therapist
- Cary, NC
- NPI 1457452690
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1437262680
-
dba Towson Orthopaedic Associates
- Orthopaedic Surgery Physician
- Towson, MD
- NPI 1477667707
-
dba Ruxton Orthotics
- Customized Equipment (DME)
- Baltimore, MD
- NPI 1902099054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1356303796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 OLD BARON DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267000",
"telephone_number": "919-228-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 ROSEWOOD CENTRE DR",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407628",
"telephone_number": "919-851-1527",
"fax_number": "919-851-3555"
}
],
"practiceLocations": [
{
"address_1": "201 E Academy St Ste 304",
"address_purpose": "LOCATION",
"city": "Fuquay Varina",
"state": "NC",
"postal_code": "275262248",
"country_code": "US",
"telephone_number": "919-228-9020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILZACK",
"first_name": "CHRISTINE",
"middle_name": "A",
"credential": "PMH-CNS, FNP, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R104565",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "MD",
"license": "R104565",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5006513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356303796",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
- Sabrina R Williams, MSW, LCSW-A
- Wilson Physical Therapy and Performance, LLC (Village Physical Therapy)
- James McLeod Wilson Jr., DPT
- Janet Beam Wilson, MS CCC-SLP
- Sara Wilson, PA-C
- Kaitlyn Wittwer, CNM
- Lauren Hillam Wittwer, DNP, CPNP-PC, RN
- WML Wellness LLC
- Women's Health Alliance, PA Pka Centre Obstetrics and Gynecology
- Brooklyn Woody
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.