Christine A Wilcox, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2279578 Issued in MA

Practice address

1185 Falmouth Rd
Centerville, MA 02632-3066

Phone

(508) 540-6550

Fax

(508) 862-2710

NPI assigned

Jul 24, 2019

Last updated

May 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gosnold, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Falmouth, MA
  • NPI 1639219314
  Medicare reassignment

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1730733189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 FALMOUTH RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026323066",
            "telephone_number": "508-540-6550",
            "fax_number": "508-862-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 FALMOUTH RD",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026323066",
            "telephone_number": "508-540-6550",
            "fax_number": "508-862-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2279578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Nicholas Vandemoer, M.D.
• Kim Vanfleet, PTA/ATC
• Cory James Whelan, M.S., CCC-SLP/BCBA
• Stephanie White
• Cassandra Whitehead
• Lazara M Wilson, BSW
• Mark Yessin, CAGS

• Psychiatric/Mental Health Nurse Practitioner in Centerville, MA
• Providers in Centerville, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.