Active NPI
Joshua A Beasley, PA-C
- Medical Physician Assistant
- Englewood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9108823
- Practice address
- 3000 S McCall Rd
Englewood, FL 34224-8616 - Phone
- (941) 841-4200
- Fax
- (941) 841-4201
- NPI assigned
- Aug 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9108823 | FL | Primary |
Addresses
Primary practice location
3000 S McCall Rd
Englewood, FL 34224-8616
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
1425 S Osprey Ave
Suite 1
Sarasota, FL 34239-2900
Phone (941) 366-9060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0T0R | Other | FL | BCBS |
| 015462200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364
13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108
13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900
13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770
171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407
177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
3000 S McCall Rd
Englewood, FL 34224-8616
Phone (941) 406-9029
4130 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-9207
Phone (941) 787-7100
900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708
Hospital & facility affiliations
- Millennium Home Care LLC
- HCA Florida Englewood Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 75.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
3000 S McCall Rd
Englewood, FL 34224
Phone (941) 406-9029
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
333 Tamiami Trl S
Ste 169171
Venice, FL 34285
Phone (941) 375-3006
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- joshua.beasley.1@4290.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1700058583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722729600000",
"number": "1215313887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 S MCCALL RD",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342248616",
"telephone_number": "941-841-4200",
"fax_number": "941-841-4201"
}
],
"practiceLocations": [
{
"address_1": "1425 S Osprey Ave",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342392900",
"country_code": "US",
"telephone_number": "941-366-9060",
"fax_number": "941-552-1588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEASLEY",
"first_name": "JOSHUA",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-06",
"last_updated": "2024-08-04",
"certification_date": "2024-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9108823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y0T0R",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015462200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.