Individual provider Active NPI

Joshua Trent Vesely, PA-C

  • Physician Assistant
  • Live Oak, FL
National Provider Identifier
1013758549
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119014 Issued in 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
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9119014 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240814003706 FL Practitioner - Physician Assistant 8224576871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trenton Medical Center IncGroup PAC ID 2365359387, 71 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Physician Assistant Current Accepting new patients
Trenton Medical Center, Inc. CurrentSince Aug 6, 2024 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Oct 15, 2025 Accepting new patients
Trenton Medical Center Inc CurrentSince Aug 6, 2024 Accepting new patients
Adventist Health System/Sunbelt, Inc Physician Assistant CurrentSince Oct 15, 2025 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) 935-0542

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

16916 NW US Highway 441
High Springs, FL 32643
Phone (386) 454-0568

23343 NW County Road 236
High Springs, FL 32643

23476 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0568

173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020

4784 W US Highway 90
Lake City, FL 32055
Phone (386) 269-9260

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

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1013758549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23476 NW 186TH AVE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326430673",
            "telephone_number": "386-454-0698",
            "fax_number": "386-454-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 RANCHERA ST NW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644866",
            "telephone_number": "386-364-1751",
            "fax_number": "386-364-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESELY",
        "first_name": "JOSHUA",
        "middle_name": "TRENT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

Verify at the official NPI Registry.