Individual provider Active NPI

Robyn Nicole Cogburn, FNPC

  • Family Nurse Practitioner
  • Boerne, TX
National Provider Identifier
1083954796
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123126 Issued in TX
Practice address
930 E Blanco Rd Ste 100
Boerne, TX 78006-1761
Phone
(830) 431-3357
NPI assigned
Feb 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP123126 TX Primary

Addresses

Primary practice location

930 E Blanco Rd Ste 100
Boerne, TX 78006-1761

Mailing address

930 E Blanco Rd Ste 100
Boerne, TX 78006-1761
Phone (830) 431-3357

Other practice location 1

850 Central Pkwy E Ste 275
Plano, TX 75074-5542
Phone (972) 881-4688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130607000272 TX Practitioner - Nurse Practitioner 1254472087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Physiatry Group LLCGroup PAC ID 1759353519, 38 clinicians

Practice addresses (Care Compare)

850 Central E Pkwy
Suite 275
Plano, TX 75074-5542
Phone (972) 881-4688

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Physiatry Group LLC CurrentSince Feb 6, 2026 Accepting new patients
Crafted Sustainable Wellness CurrentSince Oct 2, 2022 Accepting new patients
Affabilis LLC PastSince Apr 1, 2017 Accepting new patients

Locations

930 E Blanco Rd
Ste 100
Boerne, TX 78006
Phone (830) 431-3357

118 N Plant Ave
Boerne, TX 78006

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

850 Central Pkwy E
Ste 275
Plano, TX 75074

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCBAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Columbus Specialty HospitalColumbus, GA, CCN 112012 Hospital 5% Or Greater Indirect Ownership Interest (13.19%) Apr 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1083954796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E BLANCO RD STE 100",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061761",
            "telephone_number": "830-431-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E BLANCO RD STE 100",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061761",
            "telephone_number": "830-431-3357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Central Pkwy E Ste 275",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750745542",
            "country_code": "US",
            "telephone_number": "972-881-4688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COGBURN",
        "first_name": "ROBYN",
        "middle_name": "NICOLE",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.