Individual provider Active NPI

Nicholas D Newbury, D.O.

  • Obstetrics & Gynecology Physician
  • Juneau, AK
National Provider Identifier
1417214933
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
107902 Issued in AK
Practice address
3268 Hospital Drive
Suite B
Juneau, AK 99801-7808
Phone
(907) 586-1717
Fax
(907) 586-2677
NPI assigned
Apr 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NOT AVAILABLE MI
Obstetrics & Gynecology Physician 207V00000X 107902 AK Primary

Addresses

Primary practice location

3268 Hospital Drive
Suite B
Juneau, AK 99801-7808

Mailing address

3268 Hospital Dr
Suite B
Juneau, AK 99801-7800
Phone (907) 586-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160606001573 AK Practitioner - Obstetrics/Gynecology 1153611058 Reassigns benefits to 1 organization
I20230414000083 TX Practitioner - Obstetrics/Gynecology 1153611058 Reassigns benefits to 1 organization
I20251014003929 MT Practitioner - Obstetrics/Gynecology 1153611058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Alaska Regional Health Consortium 373 clinicians

Practice addresses (Care Compare)

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

Hospital & facility affiliations

  • Southeast Alaska Regional Health Consortium Hospital, Sitka, AK, CCN 021314
  • Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
NOT AVAILABLEMIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium CurrentSince Mar 31, 2023 Accepting new patients
Billings Clinic CurrentSince Sep 26, 2025 Accepting new patients
Billings Clinic Obstetrics & Gynecology CurrentSince Sep 26, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Mar 31, 2023 Accepting new patients
Juneau Obstetrics and Gynecology, P.C. Current Accepting new patients
Billings Clinic Current Accepting new patients
Municipality of Skagway CurrentSince Aug 12, 2020 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Billings Clinic Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3268 Hospital Dr
Ste B
Juneau, AK 99801
Phone (907) 586-1717

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1417214933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 HOSPITAL DR",
            "address_2": "SUITE B",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017800",
            "telephone_number": "907-586-1717",
            "fax_number": "907-586-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3268 HOSPITAL DRIVE",
            "address_2": "SUITE B",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017808",
            "telephone_number": "907-586-1717",
            "fax_number": "907-586-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBURY",
        "first_name": "NICHOLAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "NOT AVAILABLE",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "107902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.