Individual provider Active NPI

Sondra Cobbler, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coraopolis, PA
National Provider Identifier
1396567517
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024190889 Issued in VA
Practice address
109 Eastern Ave
Coraopolis, PA 15108-9687
Phone
(412) 760-0152
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Premier Healthcare LLC 105 clinicians

Practice addresses (Care Compare)

250 Browns Hill CT
Midlothian, VA 23114-9510
Phone (855) 743-2247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250319001605 VA Practitioner - Nurse Practitioner 0941722904 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP029239PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JLC Services Inc. Psychiatry CurrentSince Jan 3, 2026 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Dec 1, 2025 Accepting new patients
Eventus Premier Healthcare LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

2111 Colonial Ave SW
Roanoke, VA 24015
Phone (540) 339-7931

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X SP029239 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190889 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

109 Eastern Ave
Coraopolis, PA 15108-9687

Mailing address

109 Eastern Ave
Coraopolis, PA 15108-9687
Phone (412) 760-0152

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2025.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1396567517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 EASTERN AVE",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151089687",
            "telephone_number": "412-760-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 EASTERN AVE",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151089687",
            "telephone_number": "412-760-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBLER",
        "first_name": "SONDRA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "SP029239",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

Verify at the official NPI Registry.