Individual provider Active NPI

Joshua William Laird-Wilson, FNP-BC

  • Nurse Practitioner
  • Lincoln, CA
National Provider Identifier
1194077305
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95000250 Issued in CA
Practice address
685 Twelve Bridges Dr Ste B
Lincoln, CA 95648-8689
Phone
(916) 408-5915
NPI assigned
Oct 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95000250 CA Primary

Addresses

Primary practice location

685 Twelve Bridges Dr Ste B
Lincoln, CA 95648-8689

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice location 1

300 Harding Blvd Ste 103E
Roseville, CA 95678-2471
Phone (773) 308-3139

Other identifiers 1

IdentifierTypeStateIssuer
P01363680OtherCARR MEDICARE-DS9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140910001229 CA Practitioner - Nurse Practitioner 2961636923 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1160 Sunset Blvd
Rocklin, CA 95765-3710
Phone (916) 865-1000

2800 L St
Sacramento, CA 95816-5616

300 Harding Blvd
Suite 103
Roseville, CA 95678-2471
Phone (916) 426-3016

685 Twelve Bridges Dr
Lincoln, CA 95648-8689

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Roseville, CA, CCN 057545
  • Contra Costa Regional Medical Center Hospital, Martinez, CA, CCN 050276
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Advanced Professional Nursing Corporation Nurse Practitioner CurrentSince Aug 17, 2024 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 1, 2025 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
Galen Inpatient Physicians Inc CurrentSince Feb 1, 2016 Accepting new patients
Northbay Healthcare Group CurrentSince Sep 10, 2024 Accepting new patients
First Choice Medical and Surgical Associates Inc CurrentSince Jan 15, 2019 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Feb 1, 2016 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp. CurrentSince Feb 1, 2016 Accepting new patients
Northbay Healthcare Group CurrentSince Sep 10, 2024 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Feb 1, 2016 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Sutter Valley Medical Foundation Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Plumas District Hospital Past Accepting new patients
Molina Healthcare of California Past Accepting new patients
Molina Healthcare of California Past Accepting new patients

Locations

1305 Stratford Ave
Dixon, CA 95620

1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

685 Twelve Bridges Dr
Ste B
Lincoln, CA 95648
Phone (916) 408-5915

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

300 Harding Blvd
Ste 103
Roseville, CA 95678
Phone (916) 426-3016

300 Harding Blvd
Ste 103E
Roseville, CA 95678
Phone (773) 308-3139

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

179 Fairview Ln
Sonora, CA 95370
Phone (209) 536-3850

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

171 Butcher Rd
#A
Vacaville, CA 95687
Phone (707) 423-2510

Interoperability endpoints

  • Direct secure messaging: joshua.laird-wilson.1@32133.direct.athenahealth.com
  • Direct secure messaging: jlairdwilson356738@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d09b5303-02b3-4cca-b4b2-ddf355d54e88/

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1194077305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 TWELVE BRIDGES DR STE B",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488689",
            "telephone_number": "916-408-5915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Harding Blvd Ste 103E",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956782471",
            "country_code": "US",
            "telephone_number": "773-308-3139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAIRD-WILSON",
        "first_name": "JOSHUA",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95000250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-DS9933",
            "identifier": "P01363680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

Verify at the official NPI Registry.