Individual provider Active NPI

Theodore Newman, ARNP

  • Adult Health Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1679022289
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9388429 Issued in FL
Practice address
1111 W Fairbanks Ave Ste 110
Winter Park, FL 32789-4777
Phone
(321) 843-5851
Fax
(321) 842-1611
NPI assigned
Sep 23, 2016
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 9388429 FL
Adult Health Nurse Practitioner 363LA2200X APRN9388429 FL Primary

Addresses

Primary practice location

1111 W Fairbanks Ave Ste 110
Winter Park, FL 32789-4777

Mailing address

1111 W Fairbanks Ave Ste 110
Winter Park, FL 32789-4777
Phone (321) 843-5851

Other practice location 1

1400 S Orange Ave
Orlando, FL 32806-2134
Phone (321) 841-8650

Other practice location 2

1224 Sligh Blvd Ste A
Orlando, FL 32806-1108
Phone (321) 841-0903

Other identifiers 1

IdentifierTypeStateIssuer
018952300MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031002436 FL Practitioner - Nurse Practitioner 3476831140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1111 W Fairbanks Ave
Suite 110
Winter Park, FL 32789-4777
Phone (407) 767-5808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9388429FLMDNurse Practitioner
APRN9388429FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Star Clinic LLC CurrentSince Sep 13, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 14, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 14, 2017 Accepting new patients

Locations

1920 Don Wickham Dr
Ste 220
Clermont, FL 34711
Phone (321) 841-0903

1224 Sligh Blvd
Ste A
Orlando, FL 32806
Phone (321) 841-0903

1400 S Orange Ave
Orlando, FL 32806
Phone (321) 841-1893

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

9964 University Blvd
Orlando, FL 32817
Phone (407) 261-2900

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

1111 W Fairbanks Ave
Ste 110
Winter Park, FL 32789
Phone (321) 841-4371

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tnewman28136@orlandohealth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1679022289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W FAIRBANKS AVE STE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894777",
            "telephone_number": "321-843-5851",
            "fax_number": "321-842-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FAIRBANKS AVE STE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894777",
            "telephone_number": "321-843-5851",
            "fax_number": "321-842-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062134",
            "country_code": "US",
            "telephone_number": "321-841-8650",
            "fax_number": "321-843-4074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 Sligh Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061108",
            "country_code": "US",
            "telephone_number": "321-841-0903",
            "fax_number": "321-841-4085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "THEODORE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9388429",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9388429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018952300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.