NEXTGEN WOUND CARE SOLUTIONS WEST PC
NPI 1063374858
Nurse Practitioner in Mather, CA

Active since December 01, 2025
10901 WOOLWICH WAY, MATHER, CA 95655(770) 876-9602 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nextgen Wound Care Solutions West Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEXTGEN WOUND CARE SOLUTIONS WEST PC (NPI 1063374858) is a healthcare organization registered as a nurse practitioner in Mather, California and active in the NPI registry since December 2025. The organization lists Alyssa Johnston, Owner, as its authorized official.

NPPES Registry Identity

NPI1063374858
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameNEXTGEN WOUND CARE SOLUTIONS WEST PC
Location Address10901 WOOLWICH WAYMather, CA 95655-3007
Mailing Address10901 Woolwich WayMather, CA 95655-3007
Organization SubpartNo
Authorized OfficialAlyssa JohnstonOwner · (530) 663-8031
Enumeration DateDecember 1, 2025
NPPES CertifiedDecember 1, 2025
✔ NPI 1063374858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedInternal MedicineTaxonomy 207R00000X
10901 WOOLWICH WAY, Mather, CA 95655

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nextgen Wound Care Solutions West Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nextgen Wound Care Solutions West PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1891281432
1814 CIRBY WAY APT B
Roseville, CA 95661
(770) 876-9602
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1447769286
417 C ST
Galt, CA 95632
(209) 745-1778
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nextgen Wound Care Solutions West PC's NPI number?

The NPI number for Nextgen Wound Care Solutions West PC is 1063374858. It was assigned to this organization in the NPPES registry on December 1, 2025.

Where is Nextgen Wound Care Solutions West PC located?

Nextgen Wound Care Solutions West PC is located at 10901 Woolwich Way, Mather, CA 95655. The listed phone number is (770) 876-9602.

What is Nextgen Wound Care Solutions West PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nextgen Wound Care Solutions West PC enrolled in Medicare?

Yes. Nextgen Wound Care Solutions West PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nextgen Wound Care Solutions West PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Nextgen Wound Care Solutions West PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nextgen Wound Care Solutions West PC was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.