Joshua Trent Vesely, PA-C
Individual provider Active NPI Physician Assistant · Live Oak, FL
NPI 1013758549 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1013758549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9119014 (FL)
- Practice address
- 211 Ranchera St NW
Live Oak, FL 32064-4866 - Phone
- (386) 364-1751
- Fax
- (386) 364-1761
- NPI assigned
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health System Sunbelt, Inc.
Trenton Medical Center Inc
Practice addresses (Care Compare)
1208 Dunlawton Ave
Port Orange, FL 32127-4746
Phone (386) 304-7320
1245 W Granada Blvd
Adventhealth Centra Care Ormond Beach
Ormond Beach, FL 32174-5914
Phone (386) 317-9055
1270 Palm Coast Pkwy NW
Adventhealth Centra Care Palm Coast
Palm Coast, FL 32137-4738
Phone (407) 200-2300
1830 N Main St
Bell, FL 32619-4713
Phone (352) 463-1100
2293 S Woodland Blvd
Adventhealth Centra Care Deland
Deland, FL 32720-8633
Phone (386) 279-7010
440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000
4451 W 1St St
Adventhealth Centra Care Sanford
Sanford, FL 32771-9082
Phone (407) 330-3412
5851 State Hwy 100 E a
Adventist Health Centra Care Palm Coast Sem
Palm Coast, FL 32164-2448
Phone (386) 246-8130
911 S Main St
Trenton, FL 32693-3239
Phone (352) 463-2374
Hospital & facility affiliations
- Adventhealth Orlando
- HCA Florida Lake City Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240814003706 | FL | Practitioner - Physician Assistant | 8224576871 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trenton Medical Center Inc | Current |
Accepting new patients | |
| Adventist Health System/Sunbelt, Inc | Physician Assistant | Current |
Accepting new patients |
| Trenton Medical Center, Inc. | Current |
Accepting new patients | |
| Adventist Health System Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
| Adventist Health System/ Sunbelt, Inc. | Physician Assistant | Current |
Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
1830 N Main St
Bell, FL 32619
Phone (352) 463-1100
103 US Highway 27 SW
Branford, FL 32008
Phone (386) 395-3090
410 N Main St
Ste 12
Chiefland, FL 32626
Phone (352) 493-1686
2349 Village Square Pkwy
Ste 110111
Fleming Island, FL 32003
Phone (904) 385-2023
200 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 265-9484
23476 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0568
16916 NW US Highway 441
High Springs, FL 32643
Phone (386) 454-0568
23343 NW County Road 236
High Springs, FL 32643
4784 W US Highway 90
Lake City, FL 32055
Phone (386) 269-9260
173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020
211 Ranchera St NW
Live Oak, FL 32064
Phone (386) 364-1751
922 E Call St
#100
Starke, FL 32091
Phone (904) 364-2900
911 S Main St
Trenton, FL 32693
Phone (352) 463-2374
630 N Main St
Williston, FL 32696
Phone (352) 528-0587
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9119014 | FL | Yes |
Addresses
Primary practice location
211 Ranchera St NW
Live Oak, FL 32064-4866
Mailing address
23476 NW 186TH Ave
High Springs, FL 32643-0673
Phone (386) 454-0698
Other providers in Live Oak, FL
- Trenton Medical Center, Inc.
- Trieu Foot Solutions LLC
- Twin Rivers Mental Health
- Doreen Vargas
- Tovah O Vargas
- Chad Lewis Wainwright
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Walgreen Co
- Walmart Pharmacy
All providers in Live Oak, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.