Elizabeth Leon Corcoba, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11016813 Issued in FL

Practice address

8390 Champions Gate Blvd Ste 108
Champions Gate, FL 33896-8311

Phone

(863) 521-4497

Fax

(815) 205-4677

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.leon.corcoba.1@23694.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23694/brand/1/csg/1/fhir/r4

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.

• Corcoba Family Health Care

  • Primary Care Clinic/Center
  • Champions Gate, FL
  • NPI 1639046345
  Medicare reassignment NPD Authorized official
• Vitality Regenerative Medicine

  • Internal Medicine Physician
  • Lutz, FL
  • NPI 1801473699
  Medicare reassignment NPD
• WHC of Florida PLLC

  • General Practice Physician
  • Pensacola, FL
  • NPI 1871331462
  Medicare reassignment NPD
• Florida Medical Clinic, LLC

  • Pharmacy
  • Zephyrhills, FL
  • NPI 1669548020
  NPD (past)
• Wiregrass Direct Primary Care PLLC

  • Family Medicine Physician
  • Wesley Chapel, FL
  • NPI 1649827577
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1740948355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD STE 108",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968311",
            "telephone_number": "863-521-4497",
            "fax_number": "815-205-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD STE 108",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968311",
            "telephone_number": "863-521-4497",
            "fax_number": "815-205-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON CORCOBA",
        "first_name": "ELIZABETH",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11016813",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mekenzie Jutras
• McKenzie Paige Kiser, BEHAVIOR TECHNICIAN
• Brandon Kydd, BT
• Joanna Larrieux
• Amber Leasure, MA, BCBA
• Lindsey Day Fitness LLC
• Shayliane Lorenzo, BEHAVIOR TECHNICIAN
• Eric Paul Lozzi
• Naila Manahil, MD
• Leesa Marie Marante, PH.D., CCC-SLP

• Family Nurse Practitioner in Champions Gate, FL
• Providers in Champions Gate, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.