Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas John Newbold Jr., ARNP

Individual provider Gerontology Nurse Practitioner · NPI 1417457425

Nicholas John Newbold Jr., ARNP is a Nurse Practitioner in Port Charlotte, Florida. Qualified in 2017, 9 years ago. Practices with Florida Cancer Specialists and Research Institute, LLC, a 460-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

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Practice location Address checks out

22395 Edgewater Dr
Port Charlotte, FL 33980-2012
Phone: (941) 766-7222
Fax: (941) 766-0970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1390 Grand Venture Dr, North Port, FL 34286-2309 — (941) 257-2280

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN3395152 (FL)

Record details

NPI number1417457425
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedFebruary 16, 2018
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Florida Cancer Specialists And Research Institute, Llc — 460 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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