Individual provider Active NPI

Kristin Marie Wilczynski, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1548003544
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1011148 Issued in TX
Practice address
9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1532
Phone
(817) 663-1624
Fax
(817) 476-7437
NPI assigned
Jun 17, 2024
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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 1011148 TX Primary

Addresses

Primary practice location

9800 Hillwood Pkwy Ste 140
Fort Worth, TX 76177-1532

Mailing address

PO Box 312
Haslet, TX 76052-0312
Phone (817) 663-1624

Other practice location 1

1500 N Grant St Ste C
Denver, CO 80203-1859
Phone (817) 663-1624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241217003834 TX Practitioner - Nurse Practitioner 9335676204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9800 Hillwood Pkwy
Suite 140
Fort Worth, TX 76177-1532
Phone (817) 663-1624

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1011148TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nesting Minds Psychiatry PLLC Single Specialty CurrentSince Oct 21, 2024 Accepting new patients

Locations

3256 Lackland Rd
Ste D
Fort Worth, TX 76116
Phone (817) 663-1624

9800 Hillwood Pkwy
Ste 140
Ft Worth, TX 76177
Phone (682) 478-4130

Organizations & group practices 1

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1548003544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760520312",
            "telephone_number": "817-663-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 HILLWOOD PKWY STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761771532",
            "telephone_number": "817-663-1624",
            "fax_number": "817-476-7437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N Grant St Ste C",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802031859",
            "country_code": "US",
            "telephone_number": "817-663-1624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILCZYNSKI",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1011148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.