MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC) – Nurse Practitioner, NPI 1194077305

MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC) is a healthcare provider. based in Roseville, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 95000250 (CA). The NPI Number for MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC) is 1194077305

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC)
NPI
1194077305
Phone
(773) 308-3139
Address
300 Harding Blvd Ste 103E
Enumeration Date
11 October 2012
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9164263016
Graduation Year
2007 (19 years ago)
PAC ID
2961636923
Professional Enrollment ID
I20140910001229
Address ID
CA956782471RO300XXBLVD301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC)

  • 300 Harding Blvd Ste 103E

    Roseville, CA 956782471

    Phone: (773) 308-3139

    Type: Location

  • 1000 GREELY ROAD

    SONORA REGIONAL MEDICAL CENTER

    SONORA, CA 953705200

    Phone:

    Fax: (562) 499-6171

    Type: Mailing

  • PO BOX 255228

    SACRAMENTO, CA 958655228

    Phone:

    Type: Mailing

  • 685 TWELVE BRIDGES DR STE B

    LINCOLN, CA 956488689

    Phone: (916) 408-5915

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $649.

Total Amount is formed as General ($649) + Research ($0) + Ownership ($0) = $649.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: ABBVIE INC. ($278).

Total Amount

$649

General + Research + Ownership

Payments

32

Total payment records

General Amount

$649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140910001229INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95678)

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Reviews

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Frequently asked questions

How do I look up MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC) by NPI?
Use NPI 1194077305 when you need to reference MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC) in forms, claims, or directories.
Does this profile mean MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC) is currently active?
Yes — MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC) appears active in the national provider directory.
What field does MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC) work in?
You can think of MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC)?
The snapshot lists Roseville, California for MR. JOSHUA WILLIAM LAIRD-WILSON (FNP-BC); download NPPES for the complete set.
What if Roseville, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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