Individual provider Active NPI

Jade Elisa Cobarrubia, PMHNP-BC

  • Registered Nurse
  • Sanford, FL
National Provider Identifier
1437978772
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9377411 Issued in FL
Practice address
520 W Lake Mary Blvd Ste 208
Sanford, FL 32773-7424
Phone
(407) 391-7848
Fax
(407) 391-7966
NPI assigned
Oct 4, 2024
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11047536 FL
Registered Nurse 163W00000X RN9377411 FL Primary

Addresses

Primary practice location

520 W Lake Mary Blvd Ste 208
Sanford, FL 32773-7424

Mailing address

520 W Lake Mary Blvd Ste 208
Sanford, FL 32773-7424
Phone (407) 391-7848

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
I20260609003668 FL Practitioner - Nurse Practitioner 0042781122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4310 Metro Pkwy
Fort Myers, FL 33916-7952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9377411FLMDRegistered Nurse
APRN11047536FLMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1437978772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W LAKE MARY BLVD STE 208",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737424",
            "telephone_number": "407-391-7848",
            "fax_number": "407-391-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W LAKE MARY BLVD STE 208",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737424",
            "telephone_number": "407-391-7848",
            "fax_number": "407-391-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBARRUBIA",
        "first_name": "JADE",
        "middle_name": "ELISA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11047536",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9377411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.