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MRS. BRENDA J LIFE CNP
NPI 1073583480
Nurse Practitioner - Adult Health in Elyria, OH

Active since January 26, 2006
90.9/100
CMS Quality Rating
125 E BROAD ST, SUITE 305, ELYRIA, OH 44035(440) 326-4120(440) 322-3454 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Brenda J Life Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BRENDA J LIFE CNP (NPI 1073583480) is an individual adult health provider in Elyria, Ohio, licensed in Ohio (NP-00697) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1073583480
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. BRENDA J LIFECredential: CNP
Location Address125 E BROAD ST, SUITE 305Elyria, OH 44035-6400
Mailing Address1220 Moore Rd, Suite BAvon, OH 44011-4044 · (440) 930-4446 · Fax (440) 934-0682
Phone(440) 326-4120
Fax(440) 322-3454
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateApril 7, 2011
✔ NPI 1073583480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · NP-00697
125 E BROAD ST, Elyria, OH 44035
Open in Google Maps ↗

Other Identifiers 5

Other500004284Railroad Medicare
Medicare UPINS67317
Medicare ID-Type UnspecifiedLINP00651OH
Medicaid2210744OH
Other000000342753OH · Anthem

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES EDWARD LISI M.D.
Specialist
125 E BROAD ST
ELYRIA, OH 44035
Lorain County (440) 329-5943
DR. MICHAEL MONROE LANGER DO
Internal Medicine (Magnetic Resonance Imaging (MRI))
125 E BROAD ST, SUITE 305
ELYRIA, OH 44035
Lorain County (440) 414-9100
MRS. AUDREY HAVENS PA-C
Physician Assistant (Medical)
125 E BROAD ST
ELYRIA, OH 44035
Lorain County (440) 406-5500
DR. BASAVARAJAPPA VISWANATH M.D.
Family Medicine
125 E BROAD ST, SUITE #209
ELYRIA, OH 44035
Lorain County (440) 329-7320
OM HEALTHCARE LLC
Clinic/Center (Multi-Specialty)
125 E BROAD ST, STE 215
ELYRIA, OH 44035
Lorain County (440) 329-7305
GOVIND K MEHTA, M.D., INC.
Otolaryngology
125 E BROAD ST, SUITE 322
ELYRIA, OH 44035
Lorain County (440) 329-7345
GOVINDRAM KESHAVLAL MEHTA M.D.
Otolaryngology
125 E BROAD ST, STE 322
ELYRIA, OH 44035
Lorain County (440) 329-7345
DARLA JEAN MOYER APRN, CNP
Nurse Practitioner (Adult Health)
125 E BROAD ST
ELYRIA, OH 44035
Lorain County (440) 329-7397

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Life's NPI number?

The NPI number for Brenda Life is 1073583480. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Brenda Life located?

Brenda Life practices at 125 E Broad St Suite 305, Elyria, OH 44035. The listed phone number is (440) 326-4120.

What is Brenda Life's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Brenda Life was last updated on April 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.