1. Home
  2. Directory
  3. Florida
  4. Winter Park
  5. Nurse Practitioner
  6. NPI Profile

THEODORE NEWMAN ARNP
NPI 1679022289
Nurse Practitioner - Adult Health in Winter Park, FL

Active since September 23, 2016PECOS EnrolledAccepts Medicare Assignment
1111 W FAIRBANKS AVE STE 110, WINTER PARK, FL 32789(321) 843-5851(321) 842-1611 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2026, Sep 2, 2025, Jul 6, 2022 and 2 more (5 updates tracked since 2016).

About Theodore Newman Arnp NPPES

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

THEODORE NEWMAN ARNP (NPI 1679022289) is an individual adult health provider in Winter Park, Florida, licensed in Florida (APRN9388429) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679022289
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTHEODORE NEWMANCredential: ARNP
Location Address1111 W FAIRBANKS AVE STE 110Winter Park, FL 32789-4777
Mailing Address1111 W Fairbanks Ave Ste 110Winter Park, FL 32789-4777 · (321) 843-5851 · Fax (321) 842-1611
Phone(321) 843-5851
Fax(321) 842-1611
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 23, 2016
Last NPPES UpdateMarch 6, 20265 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1679022289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN9388429
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP 9388429 (FL)
1111 W FAIRBANKS AVE STE 110, Winter Park, FL 32789
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11400 S Orange AveOrlando, FL 32806-2134 · Phone (321) 841-8650 · Fax (321) 843-4074
Location 21224 Sligh Blvd Ste AOrlando, FL 32806-1108 · Phone (321) 841-0903 · Fax (321) 841-4085

Other Identifiers 1

Medicaid018952300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore Newman 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 ID3476831140
PECOS Enrollment IDI20161031002436
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Theodore Newman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orlando Health Star Clinic LLC
4.7 mi
Internal Medicine
1224 SLIGH BLVD STE A
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1245919299 (321) 841-3581
Orlando Health Medical Group Inc
4.7 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services22 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
25 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32789 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

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

DR. MISBAH FATHIMA AZMATH
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1111 W FAIRBANKS AVE STE 110
WINTER PARK, FL 32789
Orange County (321) 841-4371

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 Theodore Newman's NPI number?

The NPI number for Theodore Newman is 1679022289. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Where is Theodore Newman located?

Theodore Newman practices at 1111 W Fairbanks Ave Ste 110, Winter Park, FL 32789. The listed phone number is (321) 843-5851.

What is Theodore Newman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Theodore Newman enrolled in Medicare?

Yes. Theodore Newman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Theodore Newman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Newman reassigns Medicare benefits to 2 organizations: Orlando Health Star Clinic LLC (Orlando, FL) and Orlando Health Medical Group Inc (Orlando, FL). Each 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 Theodore Newman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Newman accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Theodore Newman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theodore Newman affiliated with any hospitals?

According to CMS data, Theodore Newman is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Theodore Newman was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.