NICHOLAS JOHN NEWBOLD JR. ARNP
NPI 1417457425
Nurse Practitioner - Gerontology in Port Charlotte, FL

Q: What is Nicholas Newbold's NPI number?

The NPI number for Nicholas Newbold is 1417457425. It was assigned to this individual provider in the NPPES registry on February 16, 2018.

Q: What is Nicholas Newbold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Newbold was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 16, 2018PECOS EnrolledAccepts Medicare Assignment

22395 EDGEWATER DR, PORT CHARLOTTE, FL 33980(941) 766-7222(941) 766-0970 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2024, Dec 2, 2019, Jul 11, 2018 and 1 more (4 updates tracked since 2018).

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About Nicholas John Newbold Jr. Arnp NPPES

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

NICHOLAS JOHN NEWBOLD JR. ARNP (NPI 1417457425) is an individual gerontology provider in Port Charlotte, Florida, licensed in Florida (APRN3395152) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417457425

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameNICHOLAS JOHN NEWBOLD JR.Credential: ARNP

Location Address22395 EDGEWATER DRPort Charlotte, FL 33980-2012

Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200

Phone(941) 766-7222

Fax(941) 766-0970

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 16, 2018

Last NPPES UpdateFebruary 23, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2026

✔ NPI 1417457425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN3395152

22395 EDGEWATER DR, Port Charlotte, FL 33980

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Other Identifiers 1

Medicaid122549300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas John Newbold Jr. Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234488370

PECOS Enrollment IDI20180822001598

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33980 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARSH SINGH M.D.

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