MRS. BRENDA J LIFE (CNP) – Adult Health Nurse Practitioner, NPI 1073583480

Adult Health Nurse Practitioner

MRS. BRENDA J LIFE (CNP) is a healthcare provider. based in Avon, Ohio. specializing in Adult Health Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. NP-00697 (OH). The NPI Number for MRS. BRENDA J LIFE (CNP) is 1073583480

Main info

Female

34 Years Of Experience

Accepts Medicare Assignment

Name

MRS. BRENDA J LIFE (CNP)

NPI

1073583480

Phone

(440) 930-4446

Address

1220 MOORE RD

Enumeration Date

26 January 2006

Last Update Date

7 April 2011

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4404149100

Graduation Year

1992 (34 years ago)

PAC ID

6406878578

Group Practice PAC ID

6103942529

Professional Enrollment ID

I20060103000852

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. BRENDA J LIFE (CNP)

1220, Moore Road, Avon, Lorain County, Ohio, 44011, United States
SUITE B
AVON, OH 440114044
Phone: (440) 930-4446
Fax: (440) 934-0682
Type: Mailing
East Broad Street, Washington Avenue Historic District, Elyria, Lorain County, Ohio, 44035, United States
SUITE 305
ELYRIA, OH 440356400
Phone: (440) 326-4120
Fax: (440) 322-3454
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6103942529View full group profile

Name	Specialty	State
DR. JOHN WILLIAM SCHAEFFER (M.D.)	-	OH
DR. MICHAEL J IV LYSTER (D.O.)	-	OH
DR. JAMES THOMAS KELLY (MD)	-	OH
JUDITH A DESCHAMPS (RN, MSN, NP-C)	-	OH
DR. PHILIP DIEDRICH WENDSCHUH (M.D.)	-	OH
DR. WILLIAM PATRICK MCGUINN (M.D.)	-	OH